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Individual

DANIEL B MENDLOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3733 PARK EAST DR, SUITE 105, BEACHWOOD, OH 44122
(216) 504-0009
(216) 504-0005
Mailing address
3733 PARK EAST DR, 105, BEACHWOOD, OH 44122
(216) 504-0009
(216) 504-0005

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35056791M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0762483
OH
Enumeration date
11/16/2006
Last updated
07/02/2010
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