| NPI | 1023089653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER P WALCHANOWICZ Practice Manager 440-543-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2008-07-28 |