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Dr. Ivan Santoso, DO
Family Medicine Physician in Akron, Ohio
NPI 1548373822

Ivan Santoso is a Family Medicine Physician based in Akron, OH. Ivan Santoso practices in Akron, OH and has the professional credentials of DO. The NPI Number for Ivan Santoso is 1548373822 and holds a License No. 34-006940 (Ohio).

The current practice location address for Ivan Santoso is 3333 Massillon Rd Ste 102, Akron, OH and can be reached out via phone at 330-896-3036 and via fax at 330-896-0464.

Location: 3333 Massillon Rd Ste 102, Akron, OH, 44312-5982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548373822
Provider Name
Ivan Santoso
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3333 Massillon Rd Ste 102, Akron, OH, 44312-5982
Phone Number
330-896-3036
Fax Number
330-896-0464
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2137904 05 OH
institution
Provider Business Practice Location Address Details
Address
3333 Massillon Rd Ste 102
City
Akron
State
Ohio
Zip
44312-5982
Phone Number
330-896-3036
Fax Number
330-896-0464
person
Provider Business Mailing Address Details
Address
3333 Massillon Rd Ste 102
City
Akron
State
Ohio
Zip
44312-5982
Phone Number
330-896-3036
Fax Number
330-896-0464
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
34-006940 (Ohio)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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