| |
4800 Ledgewood Dr Medina OH 44256-7666 | |
(330) 723-9688 | |
(330) 723-9697 |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 4800 Ledgewood Dr, Medina, Ohio |
Authorized Official Name and Position | Stephen Michael Bodjanac (MEDICAL DIRECTOR) |
Authorized Official Contact | 3307239688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4800 Ledgewood Dr Medina OH 44256-7666 Ph: (330) 723-9688 | 4800 Ledgewood Dr Medina OH 44256-7666 Ph: (330) 723-9688 |
NPI Number | 1699816884 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 02/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699816884 | NPI | - | NPPES |
0870919 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (Ohio) | Primary |
Kase, Speelman, &cullen, M.d.'s, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 E Washington St, Ste 4b, Medina, OH 44256 Phone: 330-723-3256 Fax: 330-722-6731 | |
Healthspan Integrated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3443 Medina Rd, Suite 108, Medina, OH 44256 Phone: 216-265-8844 Fax: 216-265-8890 | |