Individual
DANIEL J CAVOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
850 BRAINARD RD, HIGHLAND HTS, OH 44143-3146
(440) 473-0550
(440) 473-1266
Mailing address
850 BRAINARD RD, HIGHLAND HTS, OH 44143-3146
(440) 473-0550
(440) 473-1266
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36001699C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000134635
ANTHEM PIN
OH
01
—
000000166644
ANTHEM GROUP
OH
05
—
0305959
—
OH
01
—
341582432007
MEDICAL MUTUAL
OH
Enumeration date
02/27/2006
Last updated
03/04/2013
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