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DR. CHARLES MISJA M.D.

Ambulatory Health Care Facilities Clinic/Center Community Health

Provider NPI: 1649465071

Provider Information:
DR. CHARLES  MISJA M.D.
Gender: M
Sole Proprietor

Practice Location:
6929 W 130TH ST SUITE 500 PARMA HEIGHTS, OH 44130-7895 US
Tel: 440-842-6867  Fax: 440-842-8914

Business Mailing Address:
7593 HUNTINGTON RD  HUDSON, OH 44236-1947 US
Tel: 937-260-3156  Fax: --

NPI Information:
NPI: 1649465071
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QC1500XAmbulatory Health Care Facilities
Clinic/Center
Community Health
OH35.093960
N261QH0100XAmbulatory Health Care Facilities
Clinic/Center
OH35.093960
N261QM2800XAmbulatory Health Care Facilities
Clinic/Center
OH35.093960
Y208D00000XPhysicians
General Practice
OH35.093960
N2084P0802XPhysicians
Psychiatry & Neurology
OH35.093960
N2084A0401XPhysicians
Psychiatry & Neurology
OH35.093960
N2083P0901XPhysicians
Preventive Medicine
OH35.093960
N2084P2900XPhysicians
Psychiatry & Neurology
OH35.093960
N2084P0800XPhysicians
Psychiatry & Neurology
OH35.093960
N283Q00000XHospitals
Psychiatric Hospital
OH35.093960

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208D00000X

Type:

Classification:



Definition:



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