Doctor Name: | BRIAN NEMUNAITIS |
NPI Number: | 1588635809 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 34005876 |
Business Practice Address: | 5 Severance Cir Suite 304 Cleveland Hts, OH - 441181566 |
Business Phone Number: | 2167617281 |
Business Fax Number: | 2167617257 |
Mailing Address: | 5 Severance Cir, Suite 304 CLEVELAND HTS |
State: | OH |
Postal Code: | 441181566 |
Phone Number: | 2167617281 |
Fax Number: | 2167617257 |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 07/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 34005876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |