Individual
JAMES V CZERNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 953-9600
Mailing address
7757 AUBURN RD STE 15, PAINESVILLE, OH 44077-9604
(440) 350-0832
(440) 579-0191
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000319
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0292799
—
OH
Enumeration date
05/13/2018
Last updated
03/31/2020
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