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Individual

CHANTAL I DOTHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MS

Contact information

Practice address
2500 METROHEALTH DR, MHMC-PEDIATRICS, CLEVELAND, OH 44109-1900
(216) 778-5909
Mailing address
2500 METROHEALTH DR, MHMC-PEDIATRICS, CLEVELAND, OH 44109-1900
(216) 778-5909

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35056394
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0708729
OH
Enumeration date
07/02/2006
Last updated
07/08/2007
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