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Individual

JAMES J ANDRASKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3600 KOLBE RD, SUITE 203, LORAIN, OH 44053-1654
(440) 960-4522
(440) 960-4523
Mailing address
PO BOX 636643, CINCINNATI, OH 45263-6643
(440) 989-3801
(440) 960-0264

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35043680A
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0236248
OH
05
0515375
OH
05
3025372
OH
Enumeration date
02/16/2006
Last updated
01/09/2015
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