Individual
BONITA E BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3999 RICHMOND RD, BEACHWOOD, OH 44122-6046
(216) 593-1290
(216) 593-1651
Mailing address
14717 STILLWELL ROAD, CHARDON, OH 44024-6046
(440) 773-6057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001237
OH
Other
Enumeration date
04/10/2006
Last updated
06/29/2016
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