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Contact Information

TATYANA MARICIC
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH44104-3815
 Phone: 216-448-6400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

163WP0200X
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for TATYANA MARICIC · (Female)

NPI # 1720470909
Status Active
Credentials
Entity Individual
Enumeration date 02/25/2015
Last updated 02/25/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 394987
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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