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Contact Information

BRYAN J MICHELOW, MD
3733 PARK EAST DR
107
BEACHWOOD, OH44122-4338
 Phone: 216-595-6800
 Fax: 216-593-0414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRYAN J MICHELOW · (Male)

NPI Number 1548289549
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 09/29/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35062842M
  • OH Medicaid 2019103
Hospital affiliation(s)
  • CLEVELAND CLINIC - (Acute Care)
    9500 EUCLID AVENUE
    CLEVELAND, OH 44195
  • HILLCREST HOSPITAL - (Acute Care)
    6780 MAYFIELD ROAD
    MAYFIELD HEIGHTS, OH 44124
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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