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NPI Code Detail

MEDICARE: DR. MICHAEL YERUKHIM MD

MEDICARE:  DR. MICHAEL  YERUKHIM  MD
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
1207YX0905XOtolaryngology/Facial Plastic Surgery Physician35124519OH

General Provider Information

NPI Number : 1457514762
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL YERUKHIM MD
Provider Business Mailing Address
First Line : 7215 OLD OAK BLVD
Second Line : STE A414
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3377
Country : US
Telephone Number : 216-798-3299
Fax Number : 440-816-2709
Provider Business Practice Location Address
First Line : 7215 OLD OAK BLVD
Second Line : SUITE A414
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3340
Country : US
Telephone Number : 440-816-2776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2008
Last Update Date : 01/27/2022

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Directions to “ DR. MICHAEL YERUKHIM MD” Practice Location

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