Individual
DR. HENRY EMIL VUCETIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5105 SOM CENTER ROAD, SUITE 202, WILLOUGHBY, OH 44094
(440) 953-5760
(440) 953-5761
Mailing address
7590 AUBURN ROAD, SUITE 014, ATTN: MED STAFF, CONCORD TWP, OH 44077-9176
(440) 354-1899
(440) 354-1845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.092655
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
32734
OK
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35.092655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
05
—
200689470A
—
OK
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
2N2063
MEDICARE
OK
05
—
3141442
—
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
10/15/2007
Last updated
02/08/2023
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