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Individual

DR. ROBERT MARK FUMICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6803 MAYFIELD RD, SUITE 314, MAYFIELD HEIGHTS, OH 44124-2271
(440) 460-0454
(440) 460-0492
Mailing address
6803 MAYFIELD RD, SUITE 314, MAYFIELD HEIGHTS, OH 44124-2271
(440) 460-0454
(440) 460-0492

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-038194
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200001693
MEDICARE RAILROAD
OH
01
FU4223281
MEDICARE
OH
Enumeration date
11/29/2007
Last updated
05/27/2008
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