Individual
MICHAEL LEO JESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7856 BROOKSIDE DR, OLMSTED FALLS, OH 44138-1653
(440) 235-3711
(440) 235-3786
Mailing address
32800 LORAIN RD STE 2100, NORTH RIDGEVILLE, OH 44039-3430
(440) 235-3711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003567
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341842373008
BWC
OH
05
—
711484
—
OH
Enumeration date
04/25/2006
Last updated
11/06/2020
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