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Clay Ellenwood, PA-C
Medical Physician Assistant in Mentor, Ohio
NPI 1588134456

Clay Ellenwood is a Medical Physician Assistant based in Mentor, OH and is specialized in Medical. Clay Ellenwood practices in Mentor, OH and has the professional credentials of PA-C. The NPI Number for Clay Ellenwood is 1588134456 and holds a License No. 5601008913 (Ohio).

The current practice location address for Clay Ellenwood is 7232 Justin Way, Mentor, OH and can be reached out via phone at 440-578-8200. You can also correspond with Clay Ellenwood through the mailing address at 7232 JUSTIN WAY, MENTOR, OH - 44060-4881 (mailing address contact number: 440-578-8200).

Location: 7232 Justin Way, Mentor, OH, 44060-4881
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Provider Profile Details
NPI Number
1588134456
Provider Name
Clay Ellenwood
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
7232 Justin Way, Mentor, OH, 44060-4881
Phone Number
440-578-8200
Fax Number
Provider Enumeration Date
12/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5601008913 01 MI DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
institution
Provider Business Practice Location Address Details
Address
7232 Justin Way
City
State
Zip
44060-4881
Phone Number
440-578-8200
Fax Number
person
Provider Business Mailing Address Details
Address
7232 Justin Way
City
State
Zip
44060-4881
Phone Number
440-578-8200
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601008913 (Michigan)
Definition
Definition to come...
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