NPI | 1720609217 |
---|---|
Other Name | WILLGLOWE INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | GLORIA J KOOMSON Medical Director 216-200-1791 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2020-05-06 |
Last Update Date | 2020-10-12 |