Individual
BARBARA A BAETZ-GREENWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(440) 449-1555
Mailing address
5910 LANDERBROOK DR, SUITE 250, MAYFIELD HTS, OH 44124-6508
(440) 684-5829
(440) 449-1555
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
35-045792
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026882
ANTHEM
OH
05
—
0656535
—
OH
01
—
1201917
UHC
OH
01
—
5429031
AETNA
OH
01
—
80063
QUALCHOICE
OH
Enumeration date
07/07/2006
Last updated
07/08/2007
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