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Contact Information

ELLIOTT C DASENBROOK, MD
11100 EUCLID AVE
CLEVELAND, OH44106-1716
 Phone: 216-844-8500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ELLIOTT C DASENBROOK · (Male)

NPI Number 1780772632
Status Active
Credentials MD
Entity Individual
Enumeration date 10/10/2006
Last updated 06/28/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0065050
  • OH License # 35-094125
  • MI Medicaid 1780772632
  • OH Medicaid 2973626
  • PA Medicaid 1024958210001
Hospital affiliation(s)
  • AKRON GENERAL MEDICAL CENTER - (Acute Care)
    400 WABASH AVENUE
    AKRON, OH 44307
  • CLEVELAND CLINIC - (Acute Care)
    9500 EUCLID AVENUE
    CLEVELAND, OH 44195
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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