Individual
VAN D WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
35-060476
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224341
UNISON
OH
01
—
000000539616
ANTHEM
OH
05
—
0816933
—
OH
01
—
2059069
AETNA
OH
01
—
364112
WELLCARE
OH
01
—
743437
BUCKEYE
OH
01
—
990011612
RAILROAD MEDICARE
OH
01
—
P00427402
RAILROAD MEDICARE
OH
Enumeration date
07/20/2006
Last updated
11/17/2020
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