Individual
MARIELLE SEYBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
780 N PARKSIDE DR, WESTLAKE, OH 44145-1257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508440306
—
OH
Enumeration date
05/07/2021
Last updated
07/24/2023
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