Individual
JUSTIN JIAN GUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-1009
(216) 444-5616
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-5616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R10253
IA
2085R0202X
Diagnostic Radiology Physician
Primary
35.142474
OH
2085R0204X
Vascular & Interventional Radiology Physician
35.142474
OH
Other
Enumeration date
06/26/2015
Last updated
05/20/2022
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