| North Star Medical Research, Llc | |
|
18660 Bagley Rd Building Ii Suite 205 Middleburg Heights OH 44130-3483 | |
| (440) 234-5700 | |
| (440) 234-5710 |
| Full Name | North Star Medical Research, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 18660 Bagley Rd, Middleburg Heights, Ohio |
| Authorized Official Name and Position | Mark Joseph Woyshville (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4402345700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Medical Research, Llc 18660 Bagley Rd Building Ii Suite 205 Middleburg Heights OH 44130-3483 Ph: (440) 234-5700 | North Star Medical Research, Llc 18660 Bagley Rd Building Ii Suite 205 Middleburg Heights OH 44130-3483 Ph: (440) 234-5700 |
| NPI Number | 1871983973 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 01/27/2015 |
| Medicare PECOS PAC ID | 0345587820 |
|---|---|
| Medicare Enrollment ID | O20190122001486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871983973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35.063012 (Ohio) | Primary |
| Provider Name | Mark Joseph Woyshville |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275612848 PECOS PAC ID: 3870579220 Enrollment ID: I20040625000982 |
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