| State Road Family Practice Inc | |
|
12744 State Road North Royalton OH 44133-3910 | |
| (440) 582-1484 | |
| (440) 582-1594 |
| Full Name | State Road Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12744 State Road, North Royalton, Ohio |
| Authorized Official Name and Position | Matthew Joseph Frantz (PRESIDENT) |
| Authorized Official Contact | 4405821484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Road Family Practice Inc 12744 State Road North Royalton OH 44133-3910 Ph: (440) 582-1484 | State Road Family Practice Inc 12744 State Road North Royalton OH 44133-3910 Ph: (440) 582-1484 |
| NPI Number | 1053398206 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 01/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053398206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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