| Tom Violand, D.o. Medical Clinic | |
|
4088 Holiday St Nw Canton OH 44718-2513 | |
| (330) 491-9797 | |
| (330) 491-9820 |
| Full Name | Tom Violand, D.o. Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 4088 Holiday St Nw, Canton, Ohio |
| Authorized Official Name and Position | Thomas E Violand (OWNER) |
| Authorized Official Contact | 3304919797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Violand, D.o. Medical Clinic 4088 Holiday St Nw Canton OH 44718-2513 Ph: (330) 491-9797 | Tom Violand, D.o. Medical Clinic 4088 Holiday St Nw Canton OH 44718-2513 Ph: (330) 491-9797 |
| NPI Number | 1104123595 |
|---|---|
| Provider Enumeration Date | 02/21/2011 |
| Last Update Date | 02/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104123595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 34.001130 (Ohio) | Secondary |
| 208D00000X | General Practice | 34.001130 (Ohio) | Primary |
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