Individual
MARY KATHLEEN CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11851 DETROIT AVE, LAKEWOOD, OH 44107-3016
(216) 529-7125
Mailing address
11851 DETROIT AVE, LAKEWOOD, OH 44107-3016
(216) 529-7125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.121137
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2010
Last updated
02/18/2021
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