Registry details
Type
Individual
Primary specialty
Internal Medicine, Pulmonary Disease
Enumerated
Jul 23, 2007
License(s)
4301089943 (MI), 35-120425 (OH), 35-120425 (OH), 35-120425 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3600 KOLBE RD | Lorain, OH 44053-1654 | 440-960-6431 |
| LOCATION | 3600 KOLBE RD | Lorain, OH 44053-1654 | 440-960-6431 |
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.