Organization
ORTHOPAEDICS & SPORTS MEDICINE OF OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MYRON DIXON (PRESIDENT)
(330) 514-9590
Entity
Organization
Contact information
Practice address
23121 EMERY RD, CLEVELAND, OH 44128-5136
(216) 292-6766
(216) 292-6761
Mailing address
17777 BRITTANY WOODS DR, CHAGRIN FALLS, OH 44023-5533
(216) 514-9590
(216) 514-9592
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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