Individual
MICHAEL PERISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13241 RAVENNA RD, CHARDON, OH 44024-9012
(440) 285-9166
Mailing address
3262 YOUNGSTOWN KINGSVILLE RD, CORTLAND, OH 44410-9487
(330) 719-2105
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.140689
OH
Other
Enumeration date
03/22/2017
Last updated
11/20/2020
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