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Individual

MICHAEL F DEUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7255 OLD OAK BLVD, STE C208, CLEVELAND, OH 44130-3300
(440) 816-2708
(440) 243-8480
Mailing address
7255 OLD OAK BLVD, STE C208, CLEVELAND, OH 44130-3300
(440) 816-2708
(440) 243-8480

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35069143
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000201023
ANTHEM BLUE CROSS/BLUE SH
OH
01
060063900
RAILROAD MEDICARE
OH
01
100654
KAISER
OH
05
2263214
OH
01
2502910
UNITED HEALTHCARE
OH
01
341487428
TAX ID
OH
01
7168268
AETNA
OH
01
95072
QUALCHOICE
OH
Enumeration date
07/03/2006
Last updated
12/11/2018
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