ETHAN LEWIS

CANTON, OH
NPI1992448856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.008453RX)
Enumeration Date2022-04-19
Last Update Date2024-04-12
Business Address
ETHAN LEWIS
2600 6TH ST SW
CANTON, OH 44710-1702
Phone number: 330-452-9911
Mailing Address
ETHAN LEWIS
PO BOX 80690
CANTON, OH 44708-0690
Phone number: 330-363-7444
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