Individual
DR. DALMACIO L MIRANDA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8413 LAKE AVE, CLEVELAND, OH 44102-1909
(216) 281-5300
(216) 281-0371
Mailing address
8413 LAKE AVE, CLEVELAND, OH 44102-1909
(216) 281-5300
(216) 281-0371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35045229
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0614302
—
OH
Enumeration date
07/15/2006
Last updated
07/25/2007
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