Individual
MARK R PALMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HTS, OH 44122-5203
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
35-080173
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219527
ANTHEM
OH
01
—
000000526116
ANTHEM
OH
01
—
2287850
BCMH
OH
05
—
2287850
—
OH
01
—
7206021
AETNA
OH
Enumeration date
07/20/2006
Last updated
11/14/2007
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