Individual
MICHAEL J CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18599 LAKE SHORE BLVD, CLEVELAND, OH 44119-1093
(216) 844-8500
(216) 383-5370
Mailing address
18599 LAKE SHORE BLVD, CLEVELAND, OH 44119-1093
(216) 383-6060
(216) 383-5370
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
34-074742
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35-074742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224385
UNISON
—
01
—
000000539419
ANTHEM
—
05
—
2100078
—
OH
01
—
363455
WELLCARE
—
01
—
5681753
AETNA
—
01
—
60070745
RAILROAD MEDICARE
OH
01
—
741769
BUCKEYE
—
01
—
P00428928
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
12/21/2020
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