MEDICARE: DEAN W VARIAN MD

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
1	207P00000X	Emergency Medicine Physician	3507824	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619943743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN W VARIAN MD

Provider Business Mailing Address
First Line	:	6303 MAPLETON ST SE
Second Line	:
City	:	EAST CANTON
State	:	OH
Zip	:	44730-9566
Country	:	US
Telephone Number	:	330-488-0911
Fax Number	:	330-488-8025

Provider Business Practice Location Address
First Line	:	2725 LINCOLN ST. E
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44707
Country	:	US
Telephone Number	:	330-454-2000
Fax Number	:	330-499-8025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	09/16/2011

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Directions to “ DEAN W VARIAN MD” Practice Location

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