Organization
J. MICHAEL VENTO, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. MICHAEL VENTO M.D. (PRESIDENT)
(440) 460-2828
Entity
Organization
Contact information
Practice address
34600 CHARDON RD, BUILDING 3, WILLOUGHBY, OH 44094-8480
(440) 460-2828
Mailing address
34600 CHARDON RD, BUILDING 3, WILLOUGHBY, OH 44094-8480
(440) 460-2828
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
35052241
OH
207X00000X
Orthopaedic Surgery Physician
Primary
35052241
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0643012
—
OH
Enumeration date
02/23/2007
Last updated
05/09/2008
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