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NPI Code Detail

MEDICARE: ARTHUR STEVEN ULATOWSKI D.O.

MEDICARE: ARTHUR STEVEN ULATOWSKI D.O.
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
1207RC0000XCardiovascular Disease Physician5659OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00437999OTHEROHRAIL ROAD MEDICARE#

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000000531123OTHEROHANTHEM BC/BS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639177074
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTHUR STEVEN ULATOWSKI D.O.
Provider Business Mailing Address
First Line : 6525 POWERS BLVD
Second Line : SUITE 301
City : PARMA
State : OH
Zip : 44129-5461
Country : US
Telephone Number : 440-882-0075
Fax Number : 440-882-0080
Provider Business Practice Location Address
First Line : 6525 POWERS BLVD
Second Line : SUITE 301
City : PARMA
State : OH
Zip : 44129-5461
Country : US
Telephone Number : 440-882-0075
Fax Number : 440-882-0080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 01/14/2021

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