| |
One David N Myers Parkway Beachwood OH 44122-1162 | |
(216) 360-9080 | |
Not Available |
Full Name | |
---|---|
Speciality | Nurse Practitioner |
Location | One David N Myers Parkway, Beachwood, Ohio |
Authorized Official Name and Position | Mark Weiss (CFO & VP OF OPERATIONS) |
Authorized Official Contact | 2169102640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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One David N Myers Parkway Beachwood OH 44122-1162 Ph: (216) 360-9080 | One David N Myers Parkway Beachwood OH 44122-1162 Ph: (216) 360-9080 |
NPI Number | 1700277126 |
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Provider Enumeration Date | 02/06/2015 |
Last Update Date | 02/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700277126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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