| NPI | 1285609214 |
|---|---|
| Doing Business As | ROCKSIDE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHARLES R KOEPKE President 216-749-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP09205) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-05-10 |