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Individual

DR. ANDREA PAX MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2054 SOUTH GREEN ROAD, SOUTH EUCLID, OH 44121
(216) 291-9210
(216) 291-9422
Mailing address
2054 SOUTH GREEN ROAD, SOUTH EUCLID, OH 44121
(216) 291-9210
(216) 291-9422

Taxonomy

Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
34-00-8060-M
OH
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
3400806
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2408693
OH
Enumeration date
09/17/2006
Last updated
03/30/2012
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