| Canal Physician Group | |
|
676 S Broadway St Akron OH 44311-1059 | |
| (330) 344-4000 | |
| (330) 253-2349 |
| Full Name | Canal Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 676 S Broadway St, Akron, Ohio |
| Authorized Official Name and Position | Kenneth Braman (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3306658302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canal Physician Group 676 S Broadway St Akron OH 44311-1059 Ph: (330) 344-4000 | Canal Physician Group 676 S Broadway St Akron OH 44311-1059 Ph: (330) 344-4000 |
| NPI Number | 1548207111 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 11/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548207111 | NPI | - | NPPES |
| 1841239274 | Other | OH | PARTNERS PHYSICIAN GROUP NPI GROUP # |
| 2551671 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # |
| 9338635 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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