Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 50.006108RX | OH |
NPI | 1356992341 |
---|---|
Provider Name | Emily Marie Mcnerney |
First Address | Chicago Ridge, IL 60415-1361 |
Second Address | Toledo, OH 43606-3895 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2019 |
Last Update Date | 15/06/2021 |