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Individual

CAROLYN HANISKO KUERBITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7 W JACKSON ST, PAINESVILLE, OH 44077-3210
(440) 357-6740
(440) 357-7906
Mailing address
5853 WILLIAMSBURG DR, HIGHLAND HTS, OH 44143-2021
(440) 646-8426

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-068523
OH

Other

Enumeration date
08/10/2006
Last updated
07/08/2007
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