Most Relevant Information
Provider Data
| NPI Number: | 1003561929 |
| Provider Name: | MARC VINCENT MANACCI CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 0020482 |
Most Important Dates
| Enumeration Date: | 02/18/2022 |
| Last Updated: | 02/18/2022 |
Provider Practice Location
11100 EUCLID AVE
CLEVELAND
OH
441061716
Practice Location Phone/Fax
| Phone: | 2168443722 |
| Fax: |
Provider Mailing Location
1013 W 30TH ST
LORAIN
OH
440524654
Provider Mailing Phone/Fax
| Phone: | 4405414041 |
| Fax: |