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Individual

MARY T FITCH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
7255 OLD OAK BLVD, STE C108, CLEVELAND, OH 44130-3329
(440) 816-2786
(440) 816-5454
Mailing address
7255 OLD OAK BLVD, STE C108, CLEVELAND, OH 44130-3329

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50-00-1687
OH

Other

Enumeration date
03/29/2006
Last updated
07/08/2007
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