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Individual

MICHAEL IAN DZIAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGNP

Contact information

Practice address
1001 LAKESIDE AVE E, STE 1000, CLEVELAND, OH 44114-1158
(440) 258-6072
(216) 420-9354
Mailing address
1001 LAKESIDE AVE E STE 1000, CLEVELAND, OH 44114-1162
(440) 258-6072
(216) 420-9354

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16445
OH
363L00000X
Nurse Practitioner
Primary
30385
SC

Other

Enumeration date
10/20/2014
Last updated
10/27/2025
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