Individual
CLAYTON CHARLES PETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195
(216) 978-8690
Mailing address
9500 EUCLID AVE, A100, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
062701
OH
208D00000X
General Practice Physician
35.121637
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143211
—
OH
Enumeration date
04/04/2011
Last updated
08/08/2018
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