Individual
DR. MARY ELAINE PATRINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8770
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35-096671
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
MD2005-0081
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120769
—
OH
05
—
65655036
—
NM
Enumeration date
12/13/2005
Last updated
04/18/2011
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