Individual
DR. BETH B SERSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9501 EUCLID AVE, CLEVELAND, OH 44106-4711
(216) 368-2000
Mailing address
2955 FAIRFAX RD, CLEVELAND HEIGHTS, OH 44118-4015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-05-1030-S
OH
207Q00000X
Family Medicine Physician
35.051030
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35-05-1030-S
STATE LICENSE NUMBER
OH
Enumeration date
04/09/2007
Last updated
06/05/2020
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