Individual
IRENE L DEJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, INDEPENDENCE, OH 44131-2139
(216) 986-1314
(216) 986-1191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35082166
OH
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
3508-2166-D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2425914
—
OH
Enumeration date
07/02/2006
Last updated
10/01/2024
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