| NPI | 1306967807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA MCGREGOR Office Manager 440-953-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 47631) |
| 207R00000X Internal Medicine (Licence: OH 39718) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-12-02 |