Individual
ANTOINE AMADO DE OLAZAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, DESK A61, CLEVELAND, OH 44195-0001
(216) 445-3643
(216) 636-5151
Mailing address
9500 EUCLID AVE, DESK A61, CLEVELAND, OH 44195-0001
(216) 445-3643
(216) 636-5151
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35099281
OH
Other
Enumeration date
04/09/2008
Last updated
06/18/2015
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