Individual
DR. JAN KRIWINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3690 ORANGE PL STE 100, BEACHWOOD, OH 44122-4464
(216) 831-7337
(216) 595-0793
Mailing address
3690 ORANGE PL STE 100, BEACHWOOD, OH 44122-4464
(216) 831-7337
(216) 595-0793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35052622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655867
—
OH
Enumeration date
06/29/2006
Last updated
07/08/2007
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