Individual
MARGARET ROBENALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18910 OXFORD RD, SHAKER HEIGHTS, OH 44122-2528
(216) 991-6648
Mailing address
18910 OXFORD RD, SHAKER HEIGHTS, OH 44122-2528
(216) 991-6648
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1138575
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1138575
NCCPA
OH
Enumeration date
04/02/2018
Last updated
04/02/2018
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