Individual
DR. JAYMIE ANNE SHANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24075 COMMERCE PARK, BEACHWOOD, OH 44122-5846
(216) 292-3999
(216) 292-6313
Mailing address
19202 LOMOND BLVD, SHAKER HEIGHTS, OH 44122-5108
(216) 295-8488
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-068682
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0959566
—
OH
05
—
2342058
—
OH
Enumeration date
02/13/2007
Last updated
03/24/2010
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