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Individual

MR. JOHN PAUL BIRDSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7426 GOODWALT AVE, CLEVELAND, OH 44102-2033
(216) 832-3394
Mailing address
8787 BROOKPARK RD, PARMA, OH 44129-6809
(216) 739-7000
(216) 739-7094

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50 000903
OH

Other

Enumeration date
10/04/2006
Last updated
08/30/2012
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