| NPI | 1508058314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL O'CONNELL V.P Of Operations 216-761-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34001608T) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-11-16 |