Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Apr 9, 2008
License(s)
35099281 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 9500 EUCLID AVE DESK A61 | Cleveland, OH 44195-0001 | 216-445-3643 |
| LOCATION | 9500 EUCLID AVE DESK A61 | Cleveland, OH 44195-0001 | 216-445-3643 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.