Individual provider · NPI-1

Thayne Alred, MD

Emergency Medicine · Cleveland, OH

NPI number1962464610
StatusActive
Last updated in NPPESJan 15, 2020

Details

NPI
1962464610
Entity type
Individual (NPI-1)
Name
Thayne Alred
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 6, 2006
Certification date
Jan 15, 2020
Last updated
Jan 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine35055394OHYes

Practice location

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Phone 216-778-7800

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Phone 216-778-7800

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