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Individual

ERIC AUTY KANOALANI MAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9500 EUCLID AVE, MAILBOX S40, CLEVELAND, OH 44195-0001
(216) 444-0310
(216) 445-6801
Mailing address
9500 EUCLID AVE, MAILBOX S40, CLEVELAND, OH 44195-0001
(216) 444-0310
(216) 445-6801

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35-091385
OH
208100000X
Physical Medicine & Rehabilitation Physician
M1913
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2961808
OH
Enumeration date
03/15/2006
Last updated
06/23/2011
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