Individual
THOMAS ROBERT DEJAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 PARK EAST DR, 4TH FLOOR, CLEVELAND, OH 44122-4339
(216) 763-3106
Mailing address
296 ROSWELL COMMONS CIR, ROSWELL, GA 30076-1594
(770) 649-9880
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
037190
GA
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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