| NPI | 1609053107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JIMERSON Physician 216-921-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 35041190J) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-09-26 |