Individual
MICHELLE J CAPDEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, THE CLEVELAND CLINIC FOUNDATION-G30, CLEVELAND, OH 44195-0001
(216) 445-8135
(216) 445-2536
Mailing address
9500 EUCLID AVE, THE CLEVELAND CLINIC FOUNDATION-G30, CLEVELAND, OH 44195-0001
(216) 445-8135
(216) 445-2536
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-064386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000516022
ANTHEM
OH
05
—
0153248
—
OH
01
—
50028765
RAILROAD MEDICARE
OH
01
—
5710224
AETNA
OH
01
—
P00398013
MEDICAR RAILROAD
OH
Enumeration date
07/18/2006
Last updated
01/25/2008
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