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14100 Cedar Rd Ste 320 Cleveland OH 44121-3239 | |
| (216) 291-5454 | |
| (216) 291-5456 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 14100 Cedar Rd Ste 320, 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: (216) 291-5454 | 14100 Cedar Rd Ste 320 Cleveland OH 44121-3239 Ph: (216) 291-5454 |
| NPI Number | 1750406203 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 04/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750406203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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