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Individual

DR. PATRAWADEE DUANGJAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 285-6351
(440) 285-6128
Mailing address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 285-6351
(440) 285-6128

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
35-03-6105
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3106758
OH
Enumeration date
08/30/2006
Last updated
07/08/2007
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