Individual
JOSEPH SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 539-9313
Mailing address
6670 N PALMERSTON DR, MENTOR, OH 44060-3976
(440) 539-9313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006686RX
OH
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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