Individual
MRS. MICHELE CELESTE EDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.C.P.
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-4500
Mailing address
10172 JENWOOD CT, STREETSBORO, OH 44241-4312
(330) 653-8268
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970063
ABCP I.D.
OH
Enumeration date
05/15/2007
Last updated
07/08/2007
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