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7255 Old Oak Blvd Ste 209 Cleveland OH 44130-3329 | |
| (440) 816-2777 | |
| (440) 816-5437 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 7255 Old Oak Blvd Ste 209, Cleveland, Ohio |
| Authorized Official Name and Position | Steve Riddle (DIRECTOR OF BILLING SERVICES) |
| Authorized Official Contact | 2163836480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 8792 Belfast ME 04915-8792 Ph: (440) 816-2777 | 7255 Old Oak Blvd Ste 209 Cleveland OH 44130-3329 Ph: (440) 816-2777 |
| NPI Number | 1154440345 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 04/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154440345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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