Individual
JULIE D. KIZLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18901 LAKE SHORE BLVD, EUCLID, OH 44119-1078
(216) 531-9000
Mailing address
908 COTTONWOOD CT, EASTLAKE, OH 44095-5410
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.067445
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263156
—
OH
01
—
942460636421
CARESOURCE
OH
01
—
P00321150
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
05/22/2006
Last updated
06/21/2021
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