Individual
THOMAS ANDREW WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE # E-19, CLEVELAND, OH 44195-0001
(216) 445-4590
(216) 444-1703
Mailing address
39063 CAMELOT WAY, AVON, OH 44011-3627
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35069514W
OH
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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