Individual
DANIEL A. MEDALIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35-081350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2334030
—
OH
Enumeration date
07/14/2006
Last updated
02/20/2014
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