MEDICARE: MARY JEAN S UY-KROH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	57012256	OH

General Provider Information

NPI Number	:	1609089267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY JEAN S UY-KROH MD

Provider Business Mailing Address
First Line	:	CLEVELAND CLINIC
Second Line	:	9500 EUCLID AVE # A81
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0002
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	CLEVELAND CLINIC
Second Line	:	9500 EUCLID AVE # A81
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0002
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	06/17/2010

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