Individual
JUAN C CALLE CANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-0919
(216) 444-9378
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-0919
(216) 444-9378
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
104437
MN
207RN0300X
Nephrology Physician
Primary
52175
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00878294
RAILROAD MEDICARE
MN
Enumeration date
07/24/2009
Last updated
11/06/2012
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