Individual
PETER ANDREW CORPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 983-3290
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 844-2400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.093897
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102550075001
—
PA
05
—
3054591
—
OH
Enumeration date
05/08/2007
Last updated
02/28/2011
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