Registry details
Type
Individual
Primary specialty
Internal Medicine, Pulmonary Disease
Enumerated
Jul 16, 2008
License(s)
4301091760 (MI), 35-130279 (OH), 4301091760 (MI), 35-130279 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 9500 EUCLID AVE # DESKA90 | Cleveland, OH 44195-0001 | 216-444-8335 |
| LOCATION | 6780 MAYFIELD RD STE 323 | Cleveland, OH 44124-2203 | 440-312-7140 |
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