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Individual

MANICA ISIGUZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
26900 CEDAR RD STE 325S, BEACHWOOD, OH 44122-1157
(216) 839-3000
(216) 839-3829
Mailing address
26900 CEDAR RD STE 325S, BEACHWOOD, OH 44122-1157
(216) 839-3000
(216) 839-3829

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35087437
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2655630
OH
Enumeration date
05/08/2006
Last updated
11/02/2011
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