Individual
JEREMY ROBERT EDMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4110 WARRENSVILLE CENTER RD, BEACHWOOD, OH 44122-7024
(216) 491-6000
Mailing address
1755 LOCKWOOD OVAL, TWINSBURG, OH 44087-2508
(216) 410-1755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.008886
OH
Other
Enumeration date
06/14/2007
Last updated
08/29/2012
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