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NPI Code Detail

MEDICARE: DR. RICHARD MICHAEL CUKELJ DPM

MEDICARE:  DR. RICHARD MICHAEL CUKELJ  DPM
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
1213ES0103XFoot & Ankle Surgery Podiatrist80252MS

General Provider Information

NPI Number : 1346827482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD MICHAEL CUKELJ DPM
Provider Business Mailing Address
First Line : 27100 CHARDON RD
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-1192
Country : US
Telephone Number : 440-585-6500
Fax Number :
Provider Business Practice Location Address
First Line : 800 N PEARMAN AVE
Second Line :
City : CLEVELAND
State : MS
Zip : 38732-3502
Country : US
Telephone Number : 662-214-8880
Fax Number : 662-214-8300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2021
Last Update Date : 09/16/2024

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