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NPI Code Detail

MEDICARE: DR. DONALD S. SHELDON M.D.

MEDICARE: DR. DONALD S. SHELDON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine Physician35043123SOH

General Provider Information

NPI Number : 1275534877
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD S. SHELDON M.D.
Provider Business Mailing Address
First Line : 630 E RIVER ST
Second Line :
City : ELYRIA
State : OH
Zip : 44035-5902
Country : US
Telephone Number : 440-329-7826
Fax Number :
Provider Business Practice Location Address
First Line : 630 E RIVER ST
Second Line :
City : ELYRIA
State : OH
Zip : 44035-5902
Country : US
Telephone Number : 440-329-7826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 07/08/2007

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