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Individual

MICHAEL ROBERT CLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
395 W 12TH AVE FL 4, COLUMBUS, OH 43210-1267
(614) 293-8315
(614) 293-6935
Mailing address
395 W 12TH AVE FL 4, COLUMBUS, OH 43210-1267
(614) 293-8315
(614) 293-6935

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
330150
LA
2085R0204X
Vascular & Interventional Radiology Physician
35.139292
OH
2085R0204X
Vascular & Interventional Radiology Physician
4301102517
MI

Other

Enumeration date
05/23/2012
Last updated
07/11/2022
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