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Individual

MARJIE L PERSONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7874
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-048167
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000206730
UNISON
OH
01
000000503715
ANTHEM
01
0616239
BCMH
OH
05
0616239
OH
01
363908
WELLCARE
OH
01
4007766
AETNA
01
738083
BUCKEYE
OH
01
P00091489
RAILROAD MEDICARE
OH
01
P00353693
RAILROAD MEDICARE
OH
Enumeration date
07/15/2006
Last updated
08/16/2011
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