Individual
AARON PROWELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(215) 823-5800
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD071137L
PA
207RC0000X
Cardiovascular Disease Physician
MD071137L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000233297
UNISON
OH
01
—
000000552368
ANTHEM
OH
05
—
2790485
—
OH
01
—
9064121
AETNA
OH
Enumeration date
09/27/2006
Last updated
12/07/2020
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