NPI 1215340393

Michelle Bader

Practitioner Specialist Parma, OH

Practice location

Address: 7700 Malibu Dr, Parma, OH 44130-7203
Phone: (440) 885-8645

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence SP-7324 (OH)

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Registry record

NPI: 1215340393
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2014
Record last updated: 6 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.