| Wingspan Care Group | |
|
22001 Fairmount Blvd Shaker Heights OH 44118-4819 | |
| (216) 320-8222 | |
| (216) 320-8733 |
| Full Name | Wingspan Care Group |
|---|---|
| Speciality | Family Medicine |
| Location | 22001 Fairmount Blvd, Shaker Heights, Ohio |
| Authorized Official Name and Position | Leigh Hall (GENERAL COUNSEL) |
| Authorized Official Contact | 2163208222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wingspan Care Group 22001 Fairmount Blvd Shaker Heights OH 44118-4819 Ph: (216) 320-8222 | Wingspan Care Group 22001 Fairmount Blvd Shaker Heights OH 44118-4819 Ph: (216) 320-8222 |
| NPI Number | 1366913808 |
|---|---|
| Provider Enumeration Date | 12/10/2018 |
| Last Update Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366913808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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