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7695 Mentor Ave Mentor OH 44060-5540 | |
| (216) 265-8844 | |
| (216) 265-8894 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 7695 Mentor Ave, Mentor, Ohio |
| Authorized Official Name and Position | Craig Faerber (VP/CFO) |
| Authorized Official Contact | 2162658844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12301 Snow Rd Parma OH 44130-1002 Ph: (216) 265-8844 | 7695 Mentor Ave Mentor OH 44060-5540 Ph: (216) 265-8844 |
| NPI Number | 1952685851 |
|---|---|
| Provider Enumeration Date | 10/11/2011 |
| Last Update Date | 10/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952685851 | NPI | - | NPPES |
| 0211372 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Ohio) | Primary |
| 208000000X | Pediatrics | (Ohio) | Secondary |
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Bowersox Wound Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6966 Heisley Rd Ste F, Mentor, OH 44060 Phone: 440-488-4575 | |
Wound Think Consulting, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5452 Grace Dr, Mentor, OH 44060 Phone: 440-227-2000 | |
Suhas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9110 Mentor Ave Ste 9b, Mentor, OH 44060 Phone: 440-701-8030 |