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Individual

DR. MARIN K MANNIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.094301
OH
207L00000X
Anesthesiology Physician
57011701
OH
207L00000X
Anesthesiology Physician
MD444772
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0307858
NJ
05
102723720
PA
05
3051861
OH
01
P00856989
MEDICARE RAILROAD
OH
Enumeration date
05/25/2007
Last updated
08/24/2013
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