Individual
MIRIAM B MANDEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 835-8000
Mailing address
PO BOX 39155, CLEVELAND, OH 44139-0155
(440) 542-5023
(440) 542-5029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35082339M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389259
—
OH
Enumeration date
09/15/2005
Last updated
07/08/2007
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