Individual
DR. MICHAEL A BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
185 WADSWORTH RD, SUITE F, WADSWORTH, OH 44281
(330) 336-6646
(330) 336-5162
Mailing address
185 WADSWORTH RD, SUITE F, WADSWORTH, OH 44281
(330) 336-6646
(330) 336-5162
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35036055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305137
—
OH
Enumeration date
07/07/2006
Last updated
07/01/2011
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