Individual
HENRY R BAELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3013
(216) 844-7716
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35-048449
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206500
UNISON
OH
01
—
000000506532
ANTHEM
—
05
—
0527693
—
OH
01
—
0643266
AETNA
—
01
—
20023462
RAILROAD MEDICARE
OH
01
—
363333
WELLCARE
OH
01
—
3810008724
WEST VIRGINIA MEDICAID
WV
01
—
740945
BUCKEYE
OH
01
—
P00372943
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
06/30/2011
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