Provider First Line Business Practice Location Address:
2600 6TH STREET SW
Provider Second Line Business Practice Location Address:
AULTMAN WOUND CARE CENTER
Provider Business Practice Location Address City Name:
CANTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-363-4977
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/06/2009