Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | TRN15980 | FL |
N | 208600000X | Surgeon | TRN15980 | FL |
Y | 2086S0129X | Vascular Surgeon | 57 | OH |
NPI | 1023300647 |
---|---|
Provider Name | Steven Andrew Plato II |
First Address | Cleveland, OH 44106-1716 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2011 |
Last Update Date | 25/06/2012 |