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Contact Information

JACK H MITSTIFER, MD
400 WABASH AVE
AKRON, OH44307
 Phone: 330-344-1799
 Fax: 330-253-8293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JACK H MITSTIFER · (Male)

NPI # 1023075132
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 35079768M
  • OH Medicaid 2290533
Hospital affiliation(s)
  • AKRON GENERAL MEDICAL CENTER - (Acute Care)
    400 WABASH AVENUE
    AKRON, OH 44307
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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