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NPI Code Detail

MEDICARE: DR. DAVID W DELZELL MD

MEDICARE: DR. DAVID W DELZELL MD
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
1207L00000XAnesthesiology Physician35.068957OH

General Provider Information

NPI Number : 1336138379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID W DELZELL MD
Provider Business Mailing Address
First Line : 7757 AUBURN RD
Second Line : UNIT 15
City : CONCORD TWP
State : OH
Zip : 44077-9609
Country : US
Telephone Number : 309-692-5393
Fax Number : 309-692-2583
Provider Business Practice Location Address
First Line : 36000 EUCLID AVE
Second Line :
City : WILLOUGHBY
State : OH
Zip : 44094-4625
Country : US
Telephone Number : 440-350-0832
Fax Number : 440-579-0191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 03/31/2020

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Directions to “ DR. DAVID W DELZELL MD” Practice Location

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