Individual
ETHAN RICHARD PERSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10900 EUCLID AVE, CLEVELAND, OH 44106-1712
(216) 368-6459
Mailing address
10609 DALE AVE, CLEVELAND, OH 44111-4840
(440) 387-9142
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN.473029
OH
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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