| Corporation | |
|
36465 Detroit Rd Avon OH 44011-1576 | |
| (440) 934-5236 | |
| Not Available |
| Full Name | Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 36465 Detroit Rd, Avon, Ohio |
| Authorized Official Name and Position | Edgar R M Marr (OWNER) |
| Authorized Official Contact | 4409345236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corporation 36465 Detroit Rd Avon OH 44011-1576 Ph: (440) 934-5236 | Corporation 36465 Detroit Rd Avon OH 44011-1576 Ph: (440) 934-5236 |
| NPI Number | 1851464002 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 02/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851464002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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