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Individual

RYAN MATTHEW LAITINEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3999 RICHMOND RD, BEACHWOOD, OH 44122-6046
(216) 593-1546
(216) 593-0618
Mailing address
3999 RICHMOND RD, BEACHWOOD, OH 44122-6046
(216) 593-1546
(216) 593-0618

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009107RX
OH

Other

Enumeration date
10/22/2024
Last updated
10/22/2024
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