| Healthspan Integrated Care | |
|
5105 Som Center Rd Willoughby OH 44094-4203 | |
| (216) 265-8810 | |
| (216) 265-8890 |
| Full Name | Healthspan Integrated Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 5105 Som Center Rd, Willoughby, Ohio |
| Authorized Official Name and Position | David a Nowiski (CFO) |
| Authorized Official Contact | 5136392722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthspan Integrated Care 615 Elsinore Pl Cincinnati OH 45202-1459 Ph: (513) 639-2722 | Healthspan Integrated Care 5105 Som Center Rd Willoughby OH 44094-4203 Ph: (216) 265-8810 |
| NPI Number | 1649607433 |
|---|---|
| Provider Enumeration Date | 10/11/2013 |
| Last Update Date | 10/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649607433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
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