| Premier Physicians Centers, Inc. | |
|
14600 Detroit Ave Suite 103 Lakewood OH 44107-4207 | |
| (216) 227-0717 | |
| (216) 227-0827 |
| Full Name | Premier Physicians Centers, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 14600 Detroit Ave, Lakewood, Ohio |
| Authorized Official Name and Position | Mark E Wiedt (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4408955021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Physicians Centers, Inc. 20525 Center Ridge Rd Suite 220 Rocky River OH 44116-3437 Ph: (440) 895-5021 | Premier Physicians Centers, Inc. 14600 Detroit Ave Suite 103 Lakewood OH 44107-4207 Ph: (216) 227-0717 |
| NPI Number | 1073552329 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073552329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Neighborhood Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11906 Madison Ave, Lakewood, OH 44107 Phone: 216-281-0872 | |
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Nitin Govani Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13535 Detroit Ave, Suite-1, Lakewood, OH 44107 Phone: 216-521-3430 Fax: 216-521-5313 |