| NPI | 1134239676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WAGNER Executive Director 440-816-4906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 231H00000X Audiologist | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-09-18 |