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Individual

DR. THOMAS E EMMERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
15810 DETROIT AVE, LAKEWOOD, OH 44107-3711
(216) 529-1800
(216) 529-3201
Mailing address
1777 OAKMOUNT RD, SOUTH EUCLID, OH 44121-4007
(216) 691-1473
(216) 529-3201

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002808
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0924852
OH
Enumeration date
06/28/2006
Last updated
10/15/2010
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