Individual
MICAH TIMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-1074
(216) 445-9409
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-1074
(216) 445-9409
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.144415
OH
Other
Enumeration date
04/27/2017
Last updated
07/14/2022
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