| NPI | 1578796090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MCELROY Vice President Of Finance 216-767-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |