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Individual

MR. DANIEL BRADFORD KERSZENCWEJG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(215) 476-7000
Mailing address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006435RX
OH
363A00000X
Physician Assistant
MA057521
PA

Other

Enumeration date
05/06/2015
Last updated
07/10/2020
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