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Individual

DIANNE SCHUBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5208 MEMPHIS AVE, METROHEALTH BROOKLYN MEDICAL GROUP, CLEVELAND, OH 44144-2231
(216) 398-0100
Mailing address
5208 MEMPHIS AVE, METROHEALTH BROOKLYN MEDICAL GROUP, CLEVELAND, OH 44144-2231
(216) 398-0100

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35060365
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0928349
OH
Enumeration date
07/10/2006
Last updated
07/08/2007
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