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General NPI Number Information
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NPI Number | 1487641783
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Entity Type | Individual
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Provider Name | MICHAEL RAY MD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 35900 EUCLID AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4623
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Country | US
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Telephone | 440-602-3950
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Fax | 440-953-3328
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Provider Business Mailing Address
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Address Line | 36750 PEPPER DR
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City | SOLON
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State | OH
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Zip | 44139-2477
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Country | US
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Telephone | 440-498-1415
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35081618R
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License Number State | OH
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