Individual
MR. SERGIO ELIAS BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
2525 KEMPER RD, APT 207, SHAKER HEIGHTS, OH 44120-5501
(216) 707-0874
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35090534
OH
Other
Enumeration date
04/19/2008
Last updated
04/19/2008
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