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Individual

MR. RONALD SEVCHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.A.

Contact information

Practice address
10515 CARNEGIE AVE, CLEVELAND, OH 44106-3016
(216) 928-0136
Mailing address
10515 CARNEGIE AVE, CLEVELAND, OH 44106-3016
(216) 928-0136

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000003
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000375435
ANTHEM
OH
05
2265098
OH
Enumeration date
10/17/2006
Last updated
07/08/2007
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