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NPI Code Detail

MEDICARE: MIKHAEL DANIACHEW

MEDICARE: MIKHAEL DANIACHEW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOpticianOH

General Provider Information

NPI Number : 1285564542
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKHAEL DANIACHEW
Provider Business Mailing Address
First Line : 3520 HUDSON DR
Second Line :
City : STOW
State : OH
Zip : 44224-2907
Country : US
Telephone Number : 330-923-9860
Fax Number :
Provider Business Practice Location Address
First Line : 3520 HUDSON DR
Second Line :
City : STOW
State : OH
Zip : 44224-2907
Country : US
Telephone Number : 330-923-9860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ MIKHAEL DANIACHEW ” Practice Location

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