| NPI | 1215169826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM LONGVILLE Chief Accounting Officer And Contro 216-973-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2022-02-23 |