Individual
DENISA IVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
5005 PARKCENTER AVE, DUBLIN, OH 43017-3582
(614) 932-9548
Mailing address
32624 GREENWOOD DR, AVON LAKE, OH 44012-1626
(440) 787-7772
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000575
OH
Other
Enumeration date
09/17/2025
Last updated
10/24/2025
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