Joel D Provenzano, M.D.

NPI #1942431515 in Marion, Ohio

Provider Information

NPI Number
1942431515
Entity Type
Individual
Name
Joel D Provenzano, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Pulmonary Disease
Credential
M.D.
Enumeration Date
Jul 30, 2009
Last Updated
Dec 15, 2021

Practice Location

Address
1040 DELAWARE AVE
City
Marion
State
Ohio
ZIP Code
43302-6416
Phone
(740) 375-8135

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Pulmonary DiseasePulmonary Disease

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