Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 35124519 | OH |
NPI | 1457514762 |
---|---|
Provider Name | Dr. Michael Yerukhim |
First Address | Middleburg Heights, OH 44130-3377 |
Second Address | Middleburg Heights, OH 44130-3340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 27/01/2022 |