| NPI | 1992958227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE WALCHANOWICZ Practice Manager 440-543-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2009-07-24 |