Healthcare Provider Details

I. General information

NPI: 1770888653
Provider Name (Legal Business Name): BRADLEY RYAN WILSMORE MBBS PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 01/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

5 SHAKER GLEN LN
SHAKER HEIGHTS OH
44122-3121
US

V. Phone/Fax

Practice location:
  • Phone: 800-223-2273
  • Fax:
Mailing address:
  • Phone: 216-767-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number57.018975
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: