Individual
DR. MARK EMIL MEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15299 BAGLEY RD STE 300, CLEVELAND, OH 44130-4809
(440) 816-5091
Mailing address
PO BOX 638269, CINCINNATI, OH 45263-8269
(440) 816-5091
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35061857M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040005741
MEDICARE RAILROAD
OH
05
—
0910465
—
OH
Enumeration date
09/28/2006
Last updated
09/18/2023
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