| Stella Maris | |
|
1320 Washington Ave Cleveland OH 44113-2333 | |
| (216) 727-2086 | |
| (216) 771-1563 |
| Full Name | Stella Maris |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1320 Washington Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Sandy Gacek (EMR ADMINISTRATOR) |
| Authorized Official Contact | 2167272086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stella Maris 1302 Winslow Ave Cleveland OH 44113-2336 Ph: (216) 727-2086 | Stella Maris 1320 Washington Ave Cleveland OH 44113-2333 Ph: (216) 727-2086 |
| NPI Number | 1750911376 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750911376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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