Individual
DR. RENATO DE PAZ QUERUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 KOLBE RD, SUITE 222, LORAIN, OH 44053-3173
(440) 282-7600
(440) 282-7711
Mailing address
3600 KOLBE RD STE 222, LORAIN, OH 44053-1652
(440) 282-7600
(440) 282-7711
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
35058175
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0966361
—
OH
Enumeration date
04/27/2006
Last updated
04/21/2020
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