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Albert A Etheart, PA C

Physician Assistant in Shaker Heights, OH. Individual provider (NPI-1).

NPI number1366423600
StatusActive
Last updated in NPPESMay 3, 2019

Details

NPI
1366423600
Entity type
Individual (NPI-1)
Name
Mr. Albert A Etheart
Credential
PA C
Sex
Male
Sole proprietor
No
Enumeration date
Nov 11, 2005
Last updated
May 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant50001006OHYes

Practice location

20300 Chargrin Blvd
Shaker Heights, OH 44122-4412

Phone 614-505-7633

Mailing address

Po Box 30790
Medina Emergency Associates Ltd
Middleburg Heights, OH 44130-0790

Phone 330-654-1185 · Fax 330-654-9086

Other practice locations

1000 E Washington
Medina General Hospital Emergency Dept
Medina, OH 44256

Phone 330-654-1185 · Fax 330-654-9086

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Other Physician Assistant providers in Shaker Heights, OH

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