Most Relevant Information
Provider Data
| NPI Number: | 1003442955 |
| Provider Name: | SEAN MEDARD PARKER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/22/2020 |
| Last Updated: | 06/24/2021 |
Provider Practice Location
9500 EUCLID AVE
CLEVELAND
OH
441950001
Practice Location Phone/Fax
| Phone: | 2164454379 |
| Fax: |
Provider Mailing Location
9500 EUCLID AVE
CLEVELAND
OH
441950001
Provider Mailing Phone/Fax
| Phone: | 2164454379 |
| Fax: |