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Individual

MARTHA L MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4001 CARRICK DR STE 160, MEDINA, OH 44256-5392
(330) 723-7005
(330) 723-4854
Mailing address
24701 EUCLID AVE, EUCLID, OH 44117-1714
(330) 723-7005
(330) 723-4854

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35063102M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0927313
OH
Enumeration date
09/16/2006
Last updated
08/22/2011
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