Bryan J Michelow in Beachwood - Plastic Surgery

Bryan J Michelow - NPI 1548289549

Bryan J Michelow is a Plastic Surgery in Beachwood, Ohio. Bryan J Michelow practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Bryan J Michelow is 1548289549. The last update date is 2015-09-29.

Bryan J Michelow's current location address is 3733 Park East Dr, Beachwood, Ohio. You can contact this provider via phone number 2165956800. The mailing address for Bryan J Michelow is 3733 Park East Dr, Beachwood, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Bryan J Michelow
Address 3733 Park East Dr, Beachwood, Ohio
Phone Number 2165956800
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1548289549
Provider Enumeration Date 2006-07-19
Last Updated Date 2015-09-29

Provider Mailing Address Detail

Address 3733 Park East Dr
City Beachwood
State Ohio (OH)
Post Code 441224338
Phone Number 2165956800
Fax Number

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 35062842M
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2019103 OH --

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FAQs about Bryan J Michelow

What is the unique 10-digit identification code assigned to Bryan J Michelow by the Centers for Medicare & Medicaid Services?

The Bryan J Michelow has been issued the NPI (National Provider Identifier) 1548289549, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Bryan J Michelow's facilities are situated?

The facilities of Bryan J Michelow are physically located at the following address: 3733 Park East Dr, Beachwood, OH, 441224338.

What is the Bryan J Michelow's specialty and taxonomy code?

The Bryan J Michelow's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1548289549 to Bryan J Michelow?

The Bryan J Michelow received its 1548289549 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.

As of what date was the information regarding Bryan J Michelow, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bryan J Michelow, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-09-29.

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