Individual
ROGER M MACKLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3951
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35.065256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0931442
—
OH
Enumeration date
04/12/2006
Last updated
11/24/2014
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