| NPI | 1801688619 |
|---|---|
| Doing Business As | WATERTOWER PLAZA MEDICA |
| Entity Type | Organization |
| Authorized Contact | LINDA L GROVES B Illing And Credentialing Mgr 440-352-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |