Individual
MICHAEL J DOBROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
29325 HEALTH CAMPUS DR, STE 2, WESTLAKE, OH 44145-8201
(440) 835-6142
(440) 899-4383
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34003798
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0618415
—
OH
01
—
110053940
RR MEDICARE
OH
Enumeration date
08/11/2005
Last updated
09/06/2016
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