| Jack Rzepka, M.d., Inc. | |
|
4200 Warrensville Center Rd Suite 420 Beachwood OH 44122-7051 | |
| (216) 752-9055 | |
| (216) 752-0990 |
| Full Name | Jack Rzepka, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4200 Warrensville Center Rd, Beachwood, Ohio |
| Authorized Official Name and Position | Jack Rzepka (OWNER) |
| Authorized Official Contact | 2167529055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Rzepka, M.d., Inc. 4200 Warrensville Center Rd Suite 420 Beachwood OH 44122-7051 Ph: (216) 752-9055 | Jack Rzepka, M.d., Inc. 4200 Warrensville Center Rd Suite 420 Beachwood OH 44122-7051 Ph: (216) 752-9055 |
| NPI Number | 1134200132 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 06/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134200132 | NPI | - | NPPES |
| 2714281 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-051524R (Ohio) | Primary |
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