MEDICARE: DR. MONICA LYNN CALES DO

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	207Q00000X	Family Medicine Physician	34.015373	OH

General Provider Information

NPI Number	:	1245720937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA LYNN CALES DO

Provider Business Mailing Address
First Line	:	8210 MACEDONIA COMMONS BLVD
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1860
Country	:	US
Telephone Number	:	330-468-0190
Fax Number	:

Provider Business Practice Location Address
First Line	:	8210 MACEDONIA COMMONS BLVD
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1860
Country	:	US
Telephone Number	:	330-468-0190
Fax Number	:

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

Provider Enumeration Date	:	05/17/2018
Last Update Date	:	05/21/2024

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