| Elyria Mediclinic | |
|
156 Cleveland Street Elyria OH 44035 | |
| (440) 506-5674 | |
| (440) 323-0868 |
| Full Name | Elyria Mediclinic |
|---|---|
| Speciality | Family Medicine |
| Location | 156 Cleveland Street, Elyria, Ohio |
| Authorized Official Name and Position | Sanrae J Onyeneke (PRESIDENT) |
| Authorized Official Contact | 4405065674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elyria Mediclinic 156 Cleveland Street Elyria OH 44035 Ph: (440) 506-5674 | Elyria Mediclinic 156 Cleveland Street Elyria OH 44035 Ph: (440) 506-5674 |
| NPI Number | 1639413453 |
|---|---|
| Provider Enumeration Date | 11/16/2012 |
| Last Update Date | 11/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639413453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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