| NPI | 1497151443 | 
|---|---|
| Doing Business As | GENENTECH CAMPUS HEALTH CENTER | 
| Entity Type | Organization | 
| Authorized Contact | JON LEIZMAN President 216-479-9063  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208D00000X General Practice | 
| Enumeration Date | 2014-11-18 | 
| Last Update Date | 2022-08-19 |