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NPI Code Detail

MEDICARE: DR. DONALD JAMES BISESI JR. D.C.

MEDICARE: DR. DONALD JAMES BISESI JR. D.C.
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
1111N00000XChiropractor3086OH

General Provider Information

NPI Number : 1124116157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD JAMES BISESI JR. D.C.
Provider Business Mailing Address
First Line : 5960 GAREAU DR
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-4161
Country : US
Telephone Number : 440-665-0822
Fax Number :
Provider Business Practice Location Address
First Line : 3310 WARREN RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-2031
Country : US
Telephone Number : 216-476-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 09/07/2011

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