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Individual

DR. DAVID C. PRESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3192
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
35-052634
OH
2084N0400X
Neurology Physician
Primary
35-052634
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221194
UNISON
OH
01
000000510681
ANTHEM
OH
01
130018663
MCR RR
01
2053436
AETNA
OH
05
2152021
OH
01
363929
WELLCARE MEDICAID
OH
01
741877
BUCKEYE MEDICAID
OH
01
P00450168
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
11/11/2020
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