Individual
CAROLYN M DZIWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, MHMC-MEDICINE/INTERNAL MEDICINE, CLEVELAND, OH 44109-1900
(216) 778-8087
Mailing address
2500 METROHEALTH DR, MHMC-MEDICINE/INTERNAL MEDICINE, CLEVELAND, OH 44109-1900
(216) 778-8087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35055456
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35055456
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0669601
—
OH
Enumeration date
07/15/2006
Last updated
09/21/2016
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