Individual
GINA MYISHA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6559 WILSON MILLS RD, BLDG D SUIE 101, MAYFIELD VILLAGE, OH 44143-6402
(440) 473-0010
(440) 460-2812
Mailing address
4425 ST GERMAIN BLVD, WARRENSVILLE HTS, OH 44128
(216) 751-2609
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35072963
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000025415
UNICARE LIFE AND HEALTH
OH
05
—
2052488
—
OH
01
—
381960
WELLCARE
OH
01
—
R72963
SUMMACARE HEALTH PLAN
OH
Enumeration date
08/10/2005
Last updated
10/30/2011
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