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Individual

VICKEN Y. TOTTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-1000
Mailing address
11100 EUCLID AVE, B-17, CLEVELAND, OH 44106-1716
(216) 543-8348

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.087169
OH
207P00000X
Emergency Medicine Physician
G044689
CA
207Q00000X
Family Medicine Physician
G044689
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221419
UNISON
OH
01
000000503558
ANTHEM
OH
05
01365544
NY
05
2639774
OH
01
364084
WELLCARE MEDICAID
OH
01
7376790
AETNA
OH
01
743825
BUCKEYE MEDICAID
OH
01
P00366725
RAILROAD MEDICARE
OH
Enumeration date
01/22/2006
Last updated
03/05/2014
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