Towpath Trail Family Medicine

NPI 1053400507 - Family Medicine - 207Q00000X

NPI Details
NPI 1053400507
Enumeration Date 10/12/2006
Last Updated 06/17/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GERTRUDE P GERTRUDE
Position PRESIDENT
Phone (330) 879-5983
Fax (330) 879-9527
Practice Location
1230 MARKET ST NE
NAVARRE OH, 44662, US
Phone (330) 879-5983
Fax (330) 879-9527
Business Location
PO BOX 80690
CANTON OH, 44708, US
Phone (330) 833-5530
Fax (330) 833-6085
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Towpath Trail Family Medicine NPI is 1053400507, taxonomy code is 207Q00000X Towpath Trail Family Medicine physically located at 1230 Market St Ne, Navarre OH, 44662. NPI Number 1033115704 has the healthcare provider type.

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1053400507 NPI number is provided on an as is basis without warranty of any kind. 1053400507 is maintained by the National Plan & Provider Enumeration System. The contents of Towpath Trail Family Medicine are for informational purposes only.