Provider Demographics
NPI:1962432518
Name:DEUCHER, MICHAEL F (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:DEUCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7255 OLD OAK BLVD
Mailing Address - Street 2:STE C208
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3300
Mailing Address - Country:US
Mailing Address - Phone:440-816-2708
Mailing Address - Fax:440-243-8480
Practice Address - Street 1:7255 OLD OAK BLVD
Practice Address - Street 2:STE C208
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3300
Practice Address - Country:US
Practice Address - Phone:440-816-2708
Practice Address - Fax:440-243-8480
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35069143207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH060063900OtherRAILROAD MEDICARE
OH341487428OtherTAX ID
OH95072OtherQUALCHOICE
OH2502910OtherUNITED HEALTHCARE
OH7168268OtherAETNA
OH100654OtherKAISER
OH000000201023OtherANTHEM BLUE CROSS/BLUE SH
OH2263214Medicaid
OH4046313Medicare ID - Type Unspecified
OH7168268OtherAETNA
OH341487428OtherTAX ID
OH000000201023OtherANTHEM BLUE CROSS/BLUE SH
OH2263214Medicaid