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Individual

DR. PAUL M SHANIUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10701 EAST BLVD # 111W, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 229-6078
Mailing address
10701 EAST BLVD # 111W, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 229-6078

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.127729
OH
208000000X
Pediatrics Physician
35-127729
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35-127729
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/19/2012
Last updated
08/30/2022
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