Individual
NORMAN A MAZKALNINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
Mailing address
PO BOX 74216, CLEVELAND, OH 44194-0002
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-001509
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359939
ANTHEM
OH
Enumeration date
02/14/2006
Last updated
07/08/2007
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