North Star Medical Research, Llc | |
18660 Bagley Rd Building Ii Suite 205 Middleburg Heights OH 44130-3483 | |
(440) 234-5700 | |
(440) 234-5710 |
Full Name | North Star Medical Research, Llc |
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Speciality | Psychiatry & Neurology |
Location | 18660 Bagley Rd, Middleburg Heights, Ohio |
Authorized Official Name and Position | Mark Joseph Woyshville (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4402345700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Star Medical Research, Llc 18660 Bagley Rd Building Ii Suite 205 Middleburg Heights OH 44130-3483 Ph: (440) 234-5700 | North Star Medical Research, Llc 18660 Bagley Rd Building Ii Suite 205 Middleburg Heights OH 44130-3483 Ph: (440) 234-5700 |
NPI Number | 1871983973 |
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Provider Enumeration Date | 01/27/2015 |
Last Update Date | 01/27/2015 |
Medicare PECOS PAC ID | 0345587820 |
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Medicare Enrollment ID | O20190122001486 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871983973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 35.063012 (Ohio) | Primary |
Provider Name | Mark Joseph Woyshville |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275612848 PECOS PAC ID: 3870579220 Enrollment ID: I20040625000982 |
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