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Individual

DR. NATHAN A PENNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35091488
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2829434
OH
Enumeration date
01/24/2006
Last updated
10/21/2011
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