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NPI Code Detail

MEDICARE: SETH NATHANIEL WILLEN MD

MEDICARE: SETH NATHANIEL WILLEN 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
1207Y00000XOtolaryngology Physician242788MA
2207Y00000XOtolaryngology Physician261159NY
3207Y00000XOtolaryngology Physician35126680OH

General Provider Information

NPI Number : 1871821645
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETH NATHANIEL WILLEN MD
Provider Business Mailing Address
First Line : 4275 STEELS POINTE
Second Line :
City : STOW
State : OH
Zip : 44224-6841
Country : US
Telephone Number : 330-923-0399
Fax Number : 330-923-6677
Provider Business Practice Location Address
First Line : 4275 STEELS POINTE
Second Line :
City : STOW
State : OH
Zip : 44224-6841
Country : US
Telephone Number : 330-923-0399
Fax Number : 330-923-6677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2009
Last Update Date : 08/25/2015

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Directions to “ SETH NATHANIEL WILLEN MD” Practice Location

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