MATTHEW LICAUSE

NORTH CANTON, OH
NPI1205890019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  35055573)
Enumeration Date2006-04-17
Last Update Date2007-07-08
Business Address
Dr. MATTHEW LICAUSE MD
6512 WHIPPLE AVE NW
NORTH CANTON, OH 44720-7340
Phone number: 330-499-5600
Mailing Address
Dr. MATTHEW LICAUSE MD
3031 MIDVALE RD NW
CANTON, OH 44718-3237
Phone number: 330-499-5600
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