JOEL D PROVENZANO

MARION, OH
NPI1942431515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: OH  35.099189)
Enumeration Date2009-07-30
Last Update Date2021-12-15
Business Address
JOEL D PROVENZANO M.D.
1040 DELAWARE AVE
MARION, OH 43302-6416
Phone number: 740-375-8135
Mailing Address
JOEL D PROVENZANO M.D.
1040 DELAWARE AVE
MARION, OH 43302-6416
Phone number: 740-375-8135
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