Organization
MICHAEL G MANCUSO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GREGORY MANCUSO M.D. (PRESIDENT)
(440) 248-2955
Entity
Organization
Contact information
Practice address
33001 SOLON RD, SUITE 211, SOLON, OH 44139-2839
(440) 248-2955
(440) 248-5717
Mailing address
33001 SOLON RD, SUITE 211, SOLON, OH 44139-2839
(440) 248-2955
(440) 248-5717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35043115
OH
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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