Individual
ANNE STORMORKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-074532
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
35-074532
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221275
UNISON
OH
01
—
000000345536
ANTHEM
OH
01
—
000000529690
ANTHEM
OH
05
—
1019239230001
—
PA
01
—
2062968
BCMH
OH
05
—
2062968
—
OH
05
—
291535440A
—
GA
01
—
364053
WELLCARE
OH
01
—
5562709
AETNA
OH
01
—
734441
BUCKEYE
OH
Enumeration date
10/03/2006
Last updated
07/20/2011
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