Individual
HANNAH MARIE RUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 953-1953
Mailing address
6502 SOUTHGROVE RD, MENTOR, OH 44060-3450
(440) 725-8546
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2022
Last updated
02/20/2024
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