Individual
DR. MARISA KRISTEEN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-4222
Mailing address
9500 EUCLID AVE, S1-20, CLEVELAND, OH 44195-0001
(248) 396-9908
(216) 636-3363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
126254
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2011
Last updated
07/21/2022
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