| Patrick D. Enders, M.d., L.l.c. | |
|
6009 Landerhaven Dr Suite F Mayfield Heights OH 44124-4192 | |
| (440) 461-0042 | |
| (440) 461-5033 |
| Full Name | Patrick D. Enders, M.d., L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6009 Landerhaven Dr, Mayfield Heights, Ohio |
| Authorized Official Name and Position | Patrick Daniel Enders (PRESIDENT) |
| Authorized Official Contact | 4404610042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick D. Enders, M.d., L.l.c. 6009 Landerhaven Dr Suite F Mayfield Heights OH 44124-4192 Ph: (440) 461-0042 | Patrick D. Enders, M.d., L.l.c. 6009 Landerhaven Dr Suite F Mayfield Heights OH 44124-4192 Ph: (440) 461-0042 |
| NPI Number | 1588844302 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588844302 | NPI | - | NPPES |
| 0321842 | Medicaid | OH | |
| A75798 | Other | UPIN | |
| 000000122911 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35039953 (Ohio) | Primary |
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