Individual
DR. THERON ANTHONY ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4486
Mailing address
1510 GRACE AVE, LAKEWOOD, OH 44107-4915
(985) 212-2546
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.013966
OH
Other
Enumeration date
03/27/2017
Last updated
11/04/2020
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