Individual
MICHAEL S DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-074399
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000027684
ANTHEM
OH
01
—
000000221315
UNISON
OH
01
—
000000525914
ANTHEM
OH
05
—
0015760100002
—
PA
01
—
2068953
BCMH
OH
05
—
2068953
—
OH
01
—
2109462
AETNA
OH
01
—
363473
WELLCARE
OH
01
—
738050
BUCKEYE
OH
05
—
Q74399
—
SC
Enumeration date
07/26/2006
Last updated
01/24/2011
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