Healthcare Provider Details
I. General information
NPI: 1639132731
Provider Name (Legal Business Name): MICHAEL A ALEMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/10/2006
Last Update Date: 11/29/2021
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9500 EUCLID AVE
CLEVELAND OH
44195-0001
US
IV. Provider business mailing address
3233 WEDGE HILL CV
MEMPHIS TN
38125-8891
US
V. Phone/Fax
- Phone: 800-233-2273
- Fax:
- Phone: 216-526-2662
- Fax: 216-444-3680
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208800000X |
| Taxonomy | Urology Physician |
| License Number | 35084785 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: