Individual
MRS. SHANNON WEBB VON GUNTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5172 LEAVITT RD, LORAIN, OH 44053-2384
(440) 282-7420
Mailing address
5172 LEAVITT RD, LORAIN, OH 44053-2384
(440) 282-7420
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.003481
OH
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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