Individual
CRISTIAN RAFAEL BAEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-4004
Mailing address
1110 EUCLID AVE, CLEVELAND, OH 44115-1623
(216) 920-3908
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35-08-1335-B
OH
Other
Enumeration date
01/28/2019
Last updated
11/17/2020
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