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Individual

MARY E ANTHONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
17840 BAGLEY RD, CLEVELAND, OH 44130-3401
(440) 665-3054
Mailing address
17840 BAGLEY RD, CLEVELAND, OH 44130-3401
(440) 665-3064

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34007507A
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2333193
OH
Enumeration date
01/27/2006
Last updated
04/23/2024
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