Individual
MARY KATHLEEN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CLEVELAND CLINIC-FAIRVIEW HOSPITAL, 18101 LORAIN AVENUE, EMERGENCY SERVICES, CLEVELAND, OH 44111-5612
(216) 476-7312
Mailing address
CLEVELAND CLINIC-FAIRVIEW HOSPITAL, 18101 LORAIN AVENUE, EMERGENCY SERVICES, CLEVELAND, OH 44111-5612
(216) 476-7312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35072295
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065705
—
OH
Enumeration date
01/15/2007
Last updated
06/28/2018
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