Individual
JENNY WANG-PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CTR, CLEVELAND, OH 44106-1716
(216) 844-3113
Mailing address
20800 HARVARD RD, 2ND FLOOR, HIGHLAND HILLS, OH 44122-7249
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.123441
OH
208D00000X
General Practice Physician
35.123441
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103707
—
OH
Enumeration date
08/07/2009
Last updated
10/29/2015
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