Kerwin Joel Antonio Lupisan MD

NPI 1700104619 - Family Medicine - 207Q00000X

NPI Details
NPI 1700104619
Gender Male
Enumeration Date 05/17/2010
Last Updated 09/19/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
2400 WALES AVE NW
MASSILLON OH, 44646-0804, US
Phone (330) 837-4467
Fax (330) 837-4688
Business Location
2400 WALES AVE NW
MASSILLON OH, 44646-0804, US
Phone (330) 837-4467
Fax (330) 837-4688
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 35-121969
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According to our database, Kerwin Joel Antonio Lupisan MD NPI is 1700104619, taxonomy code is 207Q00000X and license number is 35-121969, license state is located at Ohio. Kerwin Joel Antonio Lupisan MD physically located at 2400 Wales Ave Nw, Massillon OH, 44646-0804. NPI Number Kerwin Joel Antonio Lupisan MD has the Individual type.

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1700104619 NPI number is provided on an as is basis without warranty of any kind. 1700104619 is maintained by the National Plan & Provider Enumeration System. The contents of Kerwin Joel Antonio Lupisan MD are for informational purposes only.