Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35.093311 | OH |
Y | 111NI0900X | Internist | 35.093311 | OH |
NPI | 1003020470 |
---|---|
Provider Name | Dr. Teri Sanor |
First Address | Fairlawn, OH 44333-9297 |
Second Address | Fairlawn, OH 44333-9297 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 15/05/2009 |