Canton Internal Medicine Associates Ince

NPI #1518908698 in Canton, Ohio

Provider Information

NPI Number: 1518908698
Entity Type: Organization
Organization Name: Canton Internal Medicine Associates Ince
Primary Specialty: Internal Medicine
Enumeration Date: Jun 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4076 HOLIDAY ST NW
City: Canton
State: Ohio
ZIP Code: 44718
Phone: (330) 492-3738

Authorized Official

Name: STACY LYNN DIEHL
Title: INSURANCE CLAIMS PROCESSOR
Phone: (330) 833-5692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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