Individual
DR. MILAGRES MARTIN FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 AUBURN RD # 2300, CONCORD TWP, OH 44077-9176
(440) 358-5555
(440) 358-5556
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(440) 358-5555
(440) 258-5556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-043299
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403790
—
OH
01
—
264168
FEDERAL BLACK LUNG
OH
Enumeration date
03/22/2006
Last updated
12/18/2012
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