Individual
JONATHAN EVAN SHOAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3299
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3299
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
298598
NY
208800000X
Urology Physician
Primary
35.139170
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2012
Last updated
01/10/2021
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