Individual
DR. HEIDI LYNN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 EUCLID AVE, DIVISION OF GENERAL SURGERY, CLEVELAND, OH 44115-1623
(216) 286-6888
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
099767
OH
208600000X
Surgery Physician
14497
NH
208600000X
Surgery Physician
235499
MA
208600000X
Surgery Physician
Primary
35-099767
OH
208600000X
Surgery Physician
48716
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068753
—
OH
05
—
2160641
—
MA
Enumeration date
07/22/2007
Last updated
11/30/2012
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