Individual
ANDREA TINDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-1500
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1832
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42866800
—
WI
Enumeration date
08/24/2006
Last updated
08/15/2013
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