Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Mar 21, 2019
License(s)
4351044294 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 9500 EUCLID AVE | Cleveland, OH 44195-0002 | 216-444-2200 |
| MAILING | 1350 W BETHUNE ST APT 1506 | Detroit, MI 48202-2665 | 347-456-8893 |
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.