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16600 Sprague Rd Suite 225 Middleburg Hts OH 44130 | |
(440) 891-9177 | |
(440) 891-0711 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 16600 Sprague Rd, Middleburg Hts, Ohio |
Authorized Official Name and Position | John B Wilhelm (PRESIDENT) |
Authorized Official Contact | 4408919177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16600 Sprague Rd Suite 225 Middleburg Hts OH 44130 Ph: (440) 891-9177 | 16600 Sprague Rd Suite 225 Middleburg Hts OH 44130 Ph: (440) 891-9177 |
NPI Number | 1396955993 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 05/19/2008 |
Identifier | Type | State | Issuer |
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1396955993 | NPI | - | NPPES |
0585728 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 35046966 (Ohio) | Primary |