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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK RAYMOND ANDERSON

Active Sole Proprietor

JACK RAYMOND ANDERSON is a General Surgery healthcare provider located in CLEVELAND, Ohio. NPI 1881166775 is currently active in the NPPES registry. Verify at CMS.

General Surgery · CLEVELAND, OH

Registration Details

NPI Number
1881166775
Provider Type
Individual
Gender
Male
NPI Issued
Dec 18, 2018 (7.6728750568868 yrs)
Last Updated
Dec 18, 2018
License
50.005645RX (OH)
Sole Proprietor
Yes

Practice Information

Address
1730 W 25TH ST
CLEVELAND, OH, 441133108
Browse OH providers · Browse ZIP 44113
Phone
2169037287
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in CLEVELAND, OH

Name Credential NPI
DR. HOWARD KATZ DO 1457355109
DR. RAMON MADARA MALAYA JR. M.D. 1730171752
RUTH M FARRELL MD, MA 1861484792
ALFRED P. BOWLES MD 1831183052
MR. JAVIER LOPEZ MD 1154319804
ALI S HALABI MD 1831187483
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.