Individual
DR. HAROLD MELVIN ICKES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2351 E 22ND ST, SUITE 338W, CLEVELAND, OH 44115-3111
(216) 861-6200
(216) 363-7490
Mailing address
363 EASTWOOD AVE, TALLMADGE, OH 44278-3124
(330) 388-8302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.028018
OH
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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