| NPI | 1467490961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L LONGVILLE Chief Accounting Officer And Contro 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-02-23 |