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Individual

DR. NANCY ELAINE AWENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
75 ARCH ST, STE. 204, AKRON, OH 44304-1429
(330) 375-7657
(330) 375-7693
Mailing address
75 ARCH ST, STE. 204, AKRON, OH 44304-1429
(330) 375-7657
(330) 375-7693

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
090452
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2817625
OH
01
4234531
MEDICARE ID
OH
Enumeration date
09/14/2007
Last updated
09/21/2011
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