Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35072350 | OH |
N | 207XS0106X | Orthopaedic Hand Surgeon | 35072350 | OH |
NPI | 1215008610 |
---|---|
Provider Name | Dr. Ira E Richterman |
First Address | Canton, OH 44718-3603 |
Second Address | Canton, OH 44718-3603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2006 |
Last Update Date | 20/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2012351 | (05) | OH |
F70926 | (02) | OH |