Provider Demographics
NPI:1811919368
Name:CLEVELAND, WILLIAM B III (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:B
Last Name:CLEVELAND
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10510 LAFAYETTE DR NW
Mailing Address - Street 2:
Mailing Address - City:CANAL FULTON
Mailing Address - State:OH
Mailing Address - Zip Code:44614-8757
Mailing Address - Country:US
Mailing Address - Phone:330-408-7159
Mailing Address - Fax:330-854-5337
Practice Address - Street 1:10510 LAFAYETTE DR NW
Practice Address - Street 2:
Practice Address - City:CANAL FULTON
Practice Address - State:OH
Practice Address - Zip Code:44614-8757
Practice Address - Country:US
Practice Address - Phone:330-408-7159
Practice Address - Fax:330-854-5337
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-048523207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHD43555Medicare UPIN