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Individual

MICHAEL S. CONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6505 MARKET ST, BOARDMAN, OH 44512-3457
(330) 726-2100
Mailing address
5008 SIR LANCELOT DR, ERIE, PA 16506-3933

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34003123C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0556474
OH
01
942460636140
CARESOURCE
OH
01
P00194514
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
06/08/2006
Last updated
07/08/2007
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