| Michael Tirmonia, Do, Inc | |
|
1330 Mercy Dr Nw Ste 324 Canton OH 44708-2625 | |
| (330) 489-1428 | |
| (330) 430-2761 |
| Full Name | Michael Tirmonia, Do, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1330 Mercy Dr Nw Ste 324, Canton, Ohio |
| Authorized Official Name and Position | Michael Virgil Tirmonia (PRESIDENT/OWNER) |
| Authorized Official Contact | 3304891428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Tirmonia, Do, Inc 1330 Mercy Dr Nw Ste 324 Canton OH 44708-2625 Ph: (330) 489-1428 | Michael Tirmonia, Do, Inc 1330 Mercy Dr Nw Ste 324 Canton OH 44708-2625 Ph: (330) 489-1428 |
| NPI Number | 1063736726 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063736726 | NPI | - | NPPES |
| 0820561 | Other | OH | MEDICARE IDENTIFICATION NUMBER |
| 36D0917207 | Other | OH | CLIA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 34-00-6209-T (Ohio) | Primary |
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