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Individual

MICHAEL RICHARD HORNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC RADIOLOGY, PHILADELPHIA, PA 19104
(267) 590-7000
Mailing address
14400 LARCHMERE BLVD, CLEVELAND, OH 44120-1319
(216) 321-0641

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
35.151109
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/09/2018
Last updated
06/20/2024
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