NPI | 1316755184 |
---|---|
Other Name | IDEAL, LLC |
Other Name | INSTITUTE FOR DIABETES, ENDOCRINOLOGY, ADIPOSITY, AND LONGEVITY (IDEAL), LLC |
Former Legal Business Name | INSTITUTE FOR DIABETES, ENDOCRINOLOGY, ADIPOSITY AND LONGEVITY |
Entity Type | Organization |
Authorized Contact | MIKHAIL KOREN Physician Founder 330-552-8862 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2024-12-24 |
Last Update Date | 2025-03-14 |