Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 35043123S | OH |
NPI | 1275534877 |
---|---|
Provider Name | Dr. Donald S. Sheldon |
First Address | Elyria, OH 44035-5902 |
Second Address | Elyria, OH 44035-5902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 08/07/2007 |