Cleveland Clinic Independence At Home

NPI 1194089292 - Family Medicine - 207Q00000X

NPI Details
NPI 1194089292
Enumeration Date 07/03/2012
Last Updated 09/19/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHAEL P MICHAEL
Position CHIEF ACCT OFFICER AND CONTROLLER
Phone (216) 444-9819
Fax (216) 520-1973
Practice Location
6801 BRECKSVILLE RD
SUITE 10
INDEPENDENCE OH, 44131-5032, US
Phone (216) 444-9819
Fax (216) 520-1973
Business Location
PO BOX 931664
CLEVELAND OH, 44193-1777, US
Phone (216) 444-9819
Fax (216) 520-1973
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Cleveland Clinic Independence At Home NPI is 1194089292, taxonomy code is 207Q00000X Cleveland Clinic Independence At Home physically located at 6801 Brecksville Rd, Independence OH, 44131-5032. NPI Number 1033115704 has the healthcare provider type.

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1194089292 NPI number is provided on an as is basis without warranty of any kind. 1194089292 is maintained by the National Plan & Provider Enumeration System. The contents of Cleveland Clinic Independence At Home are for informational purposes only.