Individual
PATRICK G. CONVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36060 EUCLID AVE STE 203, WILLOUGHBY, OH 44094-4661
(440) 602-6670
(440) 602-6671
Mailing address
P.O. BOX 714328, COLUMBUS, OH 43271-4328
(440) 354-1985
(440) 350-4938
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25052111C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0607605
—
OH
Enumeration date
10/18/2006
Last updated
03/03/2021
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