Individual
DR. IRWIN MICHAEL MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24723 DETROIT RD, WESTLAKE, OH 44145-2526
(440) 892-1440
(440) 892-4709
Mailing address
24723 DETROIT RD, WESTLAKE, OH 44145-2526
(440) 892-1440
(440) 892-4709
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-07-3072-M
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35-07-3072-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2316916
—
OH
Enumeration date
08/03/2006
Last updated
11/26/2007
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