Individual provider · Type 1 NPI

Michael Mastrangelo

Medical Physician Assistant · Elyria, OH

NPI number 1881091882 Active

Practice location

1120 E Broad St
Elyria, OH 44035-6306

Call (440) 365-2600 Map

Fax (440) 366-5543

Mailing address

PO Box 636643
Cincinnati, OH 45263-6643

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50004167 (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1881091882

Michael Mastrangelo's National Provider Identifier is 1881091882, issued on Nov 20, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Elyria, OH. The record was last updated on Feb 3, 2015.