Individual
TINA F BLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3192
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6260
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-086788
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221363
UNISON
OH
01
—
000000503641
ANTHEM
OH
05
—
2687070
—
OH
01
—
363363
WELLCARE MEDICAID
OH
01
—
5028007
AETNA
OH
01
—
744851
BUCKEYE MEDICAID
OH
Enumeration date
08/05/2006
Last updated
05/20/2008
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