Dr. Michael Broniatowski
Plastic Surgeon (Head & Neck)
2322 East 22nd Street Suite 200
Cleveland
, Ohio 44115
Dr. Michael Broniatowski
Plastic Surgeon (Head & Neck)
2322 East 22nd Street Suite 200
Cleveland
, Ohio 44115
(440) 236-8484
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Michael Broniatowski
- 4758 Ridge Rd 161
- Cleveland, OH
- Zip : 44144
- Phone : (440) 236-8484
Second Address
- Dr. Michael Broniatowski
- 2322 East 22nd Street Suite 200
- Cleveland, OH
- Zip : 44115
- Fax : (216) 363-2768
- Phone : (216) 363-2556
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 35043656 | OH |
National Provider Identifier
| NPI | 1003994062 |
|---|---|
| Provider Name | Dr. Michael Broniatowski |
| First Address | Cleveland, OH 44144 |
| Second Address | Cleveland, OH 44115 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0631516 | (05) | OH |
| A80257 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.