Individual
DR. EMILIE M GURANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6681 RIDGE RD, SUITE 200, PARMA, OH 44129-5713
(440) 743-2100
(440) 743-2101
Mailing address
6681 RIDGE RD, SUITE 200, PARMA, OH 44129-5713
(440) 743-2100
(440) 743-2101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42131
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000167074
ANTHEM
OH
05
—
0463930
—
OH
Enumeration date
10/18/2007
Last updated
10/18/2007
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