| Internal Medicine | |
|
4065 Center Rd. #210 Cleveland OH 44212 | |
| (330) 558-0050 | |
| Not Available |
| Full Name | Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 4065 Center Rd., Cleveland, Ohio |
| Authorized Official Name and Position | Heather Wagner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4408164906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Po Box 638269 Cincinnati OH 45263-8269 Ph: (330) 558-0070 | Internal Medicine 4065 Center Rd. #210 Cleveland OH 44212 Ph: (330) 558-0050 |
| NPI Number | 1588713325 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588713325 | NPI | - | NPPES |
| 2238206 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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