Individual
DR. ERIC MICHAEL REVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0002
(216) 904-1828
Mailing address
1321 HUNTER AVE APT A, COLUMBUS, OH 43201-5713
(216) 904-1828
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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