Most Relevant Information
Provider Data
| NPI Number: | 1003022260 |
| Provider Name: | MICHELE CELESTE EDGINGTON C.C.P. |
| Entity Type: | Individual |
| Taxonomy Code: | 242T00000X |
| Specialty: | Perfusionist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/15/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6780 MAYFIELD RD
MAYFIELD HTS
OH
441242203
Practice Location Phone/Fax
| Phone: | 4403124500 |
| Fax: |
Provider Mailing Location
10172 JENWOOD CT
STREETSBORO
OH
442414312
Provider Mailing Phone/Fax
| Phone: | 3306538268 |
| Fax: |