Individual
OLIVER GLEN ANCHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9500 EUCLID AVE # X10, CLEVELAND, OH 44195-1716
(216) 444-3475
(216) 445-8762
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OT016819
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
34.013978
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2015
Last updated
04/19/2023
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