Individual
DR. J MICHAEL VENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34600 CHARDON RD, WILLOUGHBY, OH 44094-8480
(440) 943-5936
Mailing address
125 HUNTING TRL, MORELAND HILLS, OH 44022-2546
(440) 943-5936
(440) 943-5806
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35052241
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35052241
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0643012
—
OH
Enumeration date
08/08/2006
Last updated
05/22/2008
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