Individual
MR. MARC VINCENT MANACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3722
Mailing address
1013 W 30TH ST, LORAIN, OH 44052-4654
(440) 541-4041
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0020482
OH
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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