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Gino Desantis

NPI 1063183366 · on the registry since 2021

Practice

Address
15400 W High St # 280
Middlefield, OH 44062
Phone
(440) 632-5587
Fax
(440) 632-0653

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio