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Organization

ORTHOWEST LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL ALAN BANKS M.D. (OWNER)
(440) 816-5380
Entity
Organization

Contact information

Practice address
7255 OLD OAK BLVD, C405, MIDDLEBURG HEIGHTS, OH 44130-3331
(440) 816-5380
(440) 816-5398
Mailing address
7255 OLD OAK BLVD, C405, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 816-5380
(440) 816-5398

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OH
332B00000X
Durable Medical Equipment & Medical Supplies
4648210001
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2287181
OH
01
CJ5824
RRMEDICARE GROUPID
OH
Enumeration date
07/15/2005
Last updated
07/21/2022
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