Registry details
Type
Organization
Primary specialty
Family Medicine
Enumerated
Mar 28, 2012
License(s)
34-003811 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 357 | North Olmsted, OH 44070-0357 | 216-226-2626 |
| LOCATION | 13535 DETROIT AVE STE 4 | Lakewood, OH 44107-4625 | 216-226-2626 |
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