| NPI | 1164477477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL DAVID WEISBLAT President 216-464-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35-064937) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |