MEDICARE: DR. TODD AXLUND DVM

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	174M00000X	Veterinarian	9158	OH

General Provider Information

NPI Number	:	1770907974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD AXLUND DVM

Provider Business Mailing Address
First Line	:	1053 S CLEVELAND MASSILLON RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44321-1659
Country	:	US
Telephone Number	:	330-670-2358
Fax Number	:	330-666-0519

Provider Business Practice Location Address
First Line	:	1053 S CLEVELAND MASSILLON RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44321-1659
Country	:	US
Telephone Number	:	330-670-2358
Fax Number	:	330-666-0519

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

Provider Enumeration Date	:	02/07/2014
Last Update Date	:	02/07/2014

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