Organization
MICHAEL YERUKHIM, MD LLC
Active
Other names
Michael Yerukhim, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVONNE M URBAN LPC, MS ED, NCC (PRACTICE MANAGER)
(216) 798-3299
Entity
Organization
Contact information
Practice address
7215 OLD OAK BLVD STE A414, MIDDLEBURG HEIGHTS, OH 44130-3377
(440) 816-2776
(440) 816-2709
Mailing address
7215 OLD OAK BLVD STE A414, MIDDLEBURG HEIGHTS, OH 44130-3377
(440) 816-2776
(440) 816-2709
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110500
—
OH
Enumeration date
03/22/2019
Last updated
02/09/2022
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