| NPI | 1245790237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M. HEMKER CFO 440-240-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 208D00000X General Practice | |
| 213E00000X Podiatrist | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2021-09-09 |