MEDICARE: BRYAN J MICHELOW M.D.

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
1	208200000X	Plastic Surgery Physician	35062842M	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548289549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN J MICHELOW M.D.

Provider Business Mailing Address
First Line	:	3733 PARK EAST DR
Second Line	:	107
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4338
Country	:	US
Telephone Number	:	216-595-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3733 PARK EAST DR
Second Line	:	107
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4338
Country	:	US
Telephone Number	:	216-595-6800
Fax Number	:	216-593-0414

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	09/29/2015

Similar Medicare Providers

1417943606 — MRS. JULIE ANNE HERTZER MD
Practice Location Address:

3733 PARK EAST DR , SUITE 102
BEACHWOOD, OH
44122-4338

Practice Phone: 216-591-1515
Practice Fax: 216-591-1544

1982631651 — CHRISTINA H REN LISW
Practice Location Address:

3733 PARK EAST DR , 100
BEACHWOOD, OH
44122-4338

Practice Phone: 216-831-6611
Practice Fax: 216-831-2726

1821013665 — JOHN R BOCKOVEN M.D.
Practice Location Address:

3733 PARK EAST DR STE 230
BEACHWOOD, OH
44122-4338

Practice Phone: 330-543-8521
Practice Fax: 216-896-0400

1609894575 — PARKER SKIN & AESTHETIC CLINIC INC.
Practice Location Address:

3733 PARK EAST DR , SUITE #104
BEACHWOOD, OH
44122-4338

Practice Phone: 216-464-7333
Practice Fax: 216-464-2696

1548365679 — DR. ARTHUR LAVIN MD
Practice Location Address:

3733 PARK EAST DR , SUITE 102
BEACHWOOD, OH
44122-4338

Practice Phone: 216-591-1515
Practice Fax:

1780755827 — CONTEMPORARY COSMETIC SURGERY, INC.
Practice Location Address:

3733 PARK EAST DR , SUITE 107
BEACHWOOD, OH
44122-4338

Practice Phone: 216-595-6800
Practice Fax: 216-593-0414

Directions to “ BRYAN J MICHELOW M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.