Individual
MR. PAUL MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(606) 837-2108
(606) 573-2586
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02854
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0918803
MEDICARE B
KY
05
—
64089147
—
KY
Enumeration date
06/15/2006
Last updated
12/27/2021
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