MEDICARE: MR. MARC EDWARD MILETI RN

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	163WF0300X	Flight Registered Nurse	283551	OH

General Provider Information

NPI Number	:	1023971686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARC EDWARD MILETI RN

Provider Business Mailing Address
First Line	:	880 OAK ST
Second Line	:
City	:	ELYRIA
State	:	OH
Zip	:	44035-3228
Country	:	US
Telephone Number	:	216-778-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 METROHEALTH DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1900
Country	:	US
Telephone Number	:	216-778-7800
Fax Number	:

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

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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