Individual
SVETLANA SARAH GRINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 844-1336
(216) 844-7143
Mailing address
3710 LONGWOOD CT, CLEVELAND HTS, OH 44118-1541
(419) 902-5861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003701
OH
363AM0700X
Medical Physician Assistant
50.003701
OH
363AS0400X
Surgical Physician Assistant
Primary
50.003701
OH
Other
Enumeration date
02/15/2013
Last updated
02/24/2023
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