Individual
MICHAEL J MUKAVETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20000 HARVARD AVE, WARRENSVILLE HEIGHTS, OH 44122-6805
(216) 491-6000
Mailing address
113 SUGARBUSH GLN, CHARDON, OH 44024-2802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000453
OH
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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