| University Hospitals Medical Group,inc | |
|
4212 State Road Rt 306 Willoughby OH 44094 | |
| (440) 684-5829 | |
| (440) 449-1555 |
| Full Name | University Hospitals Medical Group,inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4212 State Road Rt 306, Willoughby, Ohio |
| Authorized Official Name and Position | Larry D Mcelroy (VP FINANCE) |
| Authorized Official Contact | 2169833175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Hospitals Medical Group,inc 5910 Landerbrook Dr Suite 250 Mayfield Hts OH 44124-6508 Ph: (440) 684-5829 | University Hospitals Medical Group,inc 4212 State Road Rt 306 Willoughby OH 44094 Ph: (440) 684-5829 |
| NPI Number | 1699839936 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699839936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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