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NPI Code Detail

MEDICARE: ANDREW MICHAEL SPERLING

MEDICARE: ANDREW MICHAEL SPERLING
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
1183500000XPharmacist03218134OH

General Provider Information

NPI Number : 1417255001
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW MICHAEL SPERLING
Provider Business Mailing Address
First Line : 24920 FAIRMOUNT BLVD
Second Line : 21800 LIBBY RD
City : BEACHWOOD
State : OH
Zip : 44122-2246
Country : US
Telephone Number : 216-402-9363
Fax Number :
Provider Business Practice Location Address
First Line : 21800 LIBBY RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-2947
Country : US
Telephone Number : 216-662-7470
Fax Number : 216-662-1166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2011
Last Update Date : 03/05/2011

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Directions to “ ANDREW MICHAEL SPERLING ” Practice Location

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