Individual
JARED CHRISTOPHER STORCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
28601 CHAGRIN BLVD STE 500, WOODMERE, OH 44122-4562
(216) 561-0312
(216) 561-0113
Mailing address
28601 CHAGRIN BLVD STE 500, WOODMERE, OH 44122-4562
(216) 561-0312
(216) 561-0113
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34-009221
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
34-009221
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052994
—
OH
Enumeration date
06/14/2007
Last updated
01/17/2024
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