Individual
MICHAEL JOSEPH MAZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 781-0550
Mailing address
1295 HATHAWAY AVE, LAKEWOOD, OH 44107-2721
(216) 932-1741
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.394629
OH
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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