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Antonio Wesley
NPI 1558877829 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5162 Broadway Ave
Cleveland, OH 44127 - Phone
- (216) 938-6829
- Organisation at this address
- Gagan C Mallik Md Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio