Individual
DANIEL J MCLAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18099 LORAIN AVE, SUITE 545, CLEVELAND, OH 44111-5610
(216) 476-9669
(216) 476-4818
Mailing address
PO BOX 74692, CLEVELAND, OH 44194-0002
(440) 895-5021
(440) 895-5050
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35-059904
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119204
GROUP MEDICAID
—
05
—
0794627
—
OH
01
—
102959
KAISER
—
01
—
10795854
CAQH
—
01
—
1780634279
GROUP NPI
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
01
—
P00005842
RR MEDICARE INDIVIDUAL
—
Enumeration date
03/07/2006
Last updated
03/17/2010
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