Organization
MICHAEL BRONIATOWSKI M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRONIATOWSKI M.D (OWNER)
(216) 363-2556
Entity
Organization
Contact information
Practice address
2322 E 22ND ST, SUITE 200, CLEVELAND, OH 44115-3176
(440) 363-2556
(440) 363-2768
Mailing address
4758 RIDGE RD, #161, CLEVELAND, OH 44144-3327
(440) 236-8484
(440) 236-8470
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35-043656
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0631516
—
OH
Enumeration date
04/20/2007
Last updated
10/11/2007
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