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ERNEST B MARSOLAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7330
(216) 844-3781
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HTS, OH 44122-5203
(216) 286-6260
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-032222
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35-032222
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221383
UNISON
OH
01
000000516072
ANTHEM
OH
05
0018785020001
PA
05
0140172
OH
01
363811
WELLCARE MEDICAID
OH
01
4007607
AETNA
OH
01
741854
BUCKEYE MEDICAID
OH
01
P00006953
RAILROAD MEDICARE
OH
01
P00412365
MEDICARE RAILROAD
OH
Enumeration date
07/23/2006
Last updated
04/07/2009
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