Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Sep 1, 2006
License(s)
35-062825 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 10 SEVERANCE CIR | Cleveland Heights, OH 44118-1533 | 216-621-5600 |
| MAILING | 1001 LAKESIDE AVE E #1200 | Cleveland, OH 44114-1158 |
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