Individual
MAUREEN GWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Mailing address
49300 STATE RT 20, OBERLIN, OH 44074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000802
OH
Other
Enumeration date
06/13/2006
Last updated
07/02/2008
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