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Individual

JOANNA M BRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2500 METROHEALTH DR, MEDICAL STAFF OFFICE ROOM A109, CLEVELAND, OH 44109
(216) 778-5790
Mailing address
15520 EDGEWATER DR, LAKEWOOD, OH 44107-1239
(216) 402-9158

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35-066467
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224249
UNISON
01
000000539535
ANTHEM
05
0981899
OH
01
2529728
AETNA
OH
01
363379
WELLCARE
01
741814
BUCKEYE
01
P00425398
RAILROAD MEDICARE
OH
Enumeration date
07/13/2006
Last updated
12/27/2013
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