Individual
DR. MAKSIM ROVENSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9500 EUCLID AVE, J4-133, CLEVELAND, OH 44195-0001
(216) 445-6816
Mailing address
27020 CEDAR RD, APT 707-1, BEACHWOOD, OH 44122-1163
(917) 705-5254
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
010647
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
258499
NY
Other
Enumeration date
07/01/2008
Last updated
09/13/2012
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