Edmund Wu Shi, DO
Family Medicine in Canton, OH. Individual provider (NPI-1).
NPI number1669935771
StatusActive
Last updated in NPPESAug 15, 2022
Details
- NPI
- 1669935771
- Entity type
- Individual (NPI-1)
- Name
- Edmund Wu Shi
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2019
- Certification date
- Aug 15, 2022
- Last updated
- Aug 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 34.015814 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1320 Mercy Dr NwCanton, OH 44708-2614
Phone 330-489-1000 · Fax 330-489-1281
Mailing address
1320 Mercy Dr NwCanton, OH 44708-2614
Phone 330-489-1000
Other practice locations
2600 Sixth St Sw
Canton, OH 44710-1799
Canton, OH 44710-1799
Phone 330-363-6211 · Fax 330-453-4263
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