Individual
DAVID PERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 363-2730
Mailing address
PO BOX 932127, CLEVELAND, OH 44193-0008
(216) 363-2730
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35050026P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0554896
—
OH
01
—
P00925962
RAILROAD MEDICARE
OH
Enumeration date
03/07/2006
Last updated
02/03/2021
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