Individual
MR. MICHEL PIERRE MOREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9500 EUCLID AVE # 31, CLEVELAND, OH 44195-0001
(216) 444-8658
(216) 444-9247
Mailing address
31831 WOODBRIDGE WAY, AVON LAKE, OH 44012-2790
(440) 371-7376
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
RN. 308471-COA1
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA 11312-NA
OH
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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