Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
May 9, 2006
License(s)
35064785 (OH), 35064785 (OH), 35064785 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2001 CROCKER RD SUITE 150 | Westlake, OH 44145-6966 | 440-871-0410 |
| MAILING | 2001 CROCKER RD SUITE 150 | Westlake, OH 44145-6966 | 440-871-0410 |
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.