| NPI | 1104864578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L LONGVILLE Chief Accounting Officer And Contro 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-02-23 |