person
Michael Mastrangelo
Medical Physician Assistant in Elyria, Ohio
NPI 1881091882

Michael Mastrangelo is a Medical Physician Assistant based in Cincinnati, OH and is specialized in Medical. Michael Mastrangelo practices in Elyria, OH. The NPI Number for Michael Mastrangelo is 1881091882 and holds a License No. 50004167 (Ohio).

The current practice location address for Michael Mastrangelo is 1120 E Broad St, Elyria, OH and can be reached out via phone at 440-365-2600 and via fax at 440-366-5543.

Location: 1120 E Broad St, Elyria, OH, 45263-6643
person
Provider Profile Details
NPI Number
1881091882
Provider Name
Michael Mastrangelo
Credential
Provider Entity Type
Individual
Gender
Male
Address
1120 E Broad St, Elyria, OH, 45263-6643
Phone Number
440-365-2600
Fax Number
440-366-5543
Provider Enumeration Date
11/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3025372 05 OH
institution
Provider Business Practice Location Address Details
Address
1120 E Broad St
City
State
Zip
44035-6306
Phone Number
440-365-2600
Fax Number
440-366-5543
person
Provider Business Mailing Address Details
Address
1120 E Broad St
City
State
Zip
44035-6306
Phone Number
440-365-2600
Fax Number
440-366-5543
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
50004167 (Ohio)
Definition
Definition to come...
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