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Individual

ED GEMERCHAK III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6001 WOODLAND AVE STE 703, CLEVELAND, OH 44104-2775
(216) 431-2018
Mailing address
3686 NORMANDY RD, SHAKER HEIGHTS, OH 44120-5254
(216) 217-1637

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I0800146-SUPV
OH

Other

Enumeration date
10/21/2016
Last updated
10/21/2016
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