Individual
MRS. STEPHANIE LYN MYTROSEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-0568
(216) 445-1321
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-0568
(216) 445-1321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001502
OH
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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