Individual
MIREILLE ASTRID MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-4766
Mailing address
2870 HUNTINGTON RD, SHAKER HEIGHTS, OH 44120-2404
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
421396
PA
2086S0129X
Vascular Surgery Physician
Primary
35.088022
OH
Other
Enumeration date
09/04/2007
Last updated
10/29/2012
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