Individual
DEANNA L DAHL-GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
35-064443
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206853
ANTHEM
OH
01
—
000000221358
UNISON
OH
01
—
000000525920
ANTHEM
OH
05
—
0019426400001
—
PA
01
—
0968136
BCMH
OH
05
—
0968136
—
OH
01
—
363458
WELLCARE
OH
01
—
5193157
AETNA
OH
01
—
733266
BUCKEYE
OH
Enumeration date
07/16/2006
Last updated
10/26/2010
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