Individual
MARY MARGARET GORJANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15900 SNOW RD STE 300, BROOKPARK, OH 44142-2860
(440) 292-1000
(440) 292-1001
Mailing address
6900 PEARL RD, STE 100, MIDDLEBURG HEIGHTS, OH 44130-3639
(440) 292-1000
(440) 292-1001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-048000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201141
ANTHEM
OH
01
—
0004558586
AETNA
OH
05
—
0495307
—
OH
05
—
2238206
—
OH
01
—
95357
QUAL CHOICE
OH
Enumeration date
12/09/2005
Last updated
01/05/2021
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