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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL EDWARD MILLSTEIN M.D. (OWNER)
(216) 831-0120
Entity
Organization

Contact information

Practice address
25101 CHAGRIN BLVD, BEACHWOOD, OH 44122-5643
(216) 831-6299
(216) 292-3486
Mailing address
25101 CHAGRIN BLVD, BEACHWOOD, OH 44122-5643
(216) 831-6299
(216) 292-3486

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
11/17/2006
Last updated
05/30/2008
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