Individual
DR. MAURICE AE SOREMEKUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3619 PARK EAST DR, #311 SOUTH BUILDING, BEACHWOOD, OH 44122
(216) 464-9154
Mailing address
P.O. BOX 367, CHESTERLAND, OH 44026
(216) 464-9154
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35042586
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0930505
—
OH
Enumeration date
10/06/2006
Last updated
11/19/2019
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