Individual
DR. JEREMY PERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10553 SAINT CLAIR AVE, CLEVELAND, OH 44108-1973
(216) 682-7702
(216) 920-6273
Mailing address
PO BOX 932127, CLEVELAND, OH 44193-0008
(216) 363-2730
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-003674
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085043
—
OH
Enumeration date
08/02/2012
Last updated
02/03/2021
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