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NPI Code Detail

MEDICARE: ROBERT ALAN ANCKER MD

MEDICARE: ROBERT ALAN ANCKER 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
1207QH0002XHospice and Palliative Medicine (Family Medicine) PhysicianM9371ID
2207QH0002XHospice and Palliative Medicine (Family Medicine) Physician35.141901OH

General Provider Information

NPI Number : 1639121098
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT ALAN ANCKER MD
Provider Business Mailing Address
First Line : 17876 SAINT CLAIR AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44110-2602
Country : US
Telephone Number : 216-399-9573
Fax Number : 216-430-2826
Provider Business Practice Location Address
First Line : 17876 SAINT CLAIR AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44110-2602
Country : US
Telephone Number : 216-399-9573
Fax Number : 216-430-2826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 09/15/2021

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