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Individual

DR. ROBERT M KONSTAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(216) 593-5500
(216) 844-5922
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(216) 593-5500
(216) 844-5922

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35061019K
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0880524
OH
01
300114400
RAILROAD
Enumeration date
11/30/2005
Last updated
12/17/2013
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