| Premier Comprehensive Management Services, Llc | |
|
20525 Center Ridge Rd Suite 220 Rocky River OH 44116-3437 | |
| (440) 895-5056 | |
| (440) 333-2935 |
| Full Name | Premier Comprehensive Management Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20525 Center Ridge Rd, Rocky River, Ohio |
| Authorized Official Name and Position | Mark E Wiedt (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4408955056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Comprehensive Management Services, Llc Po Box 74169 Cleveland OH 44194-4169 Ph: (440) 895-5056 | Premier Comprehensive Management Services, Llc 20525 Center Ridge Rd Suite 220 Rocky River OH 44116-3437 Ph: (440) 895-5056 |
| NPI Number | 1922287317 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922287317 | NPI | - | NPPES |
| 2916152 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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