Meridia Medical Group LLC
Family Medicine in Mentor, OH. Organization (NPI-2).
NPI number1497948111
StatusActive
Last updated in NPPESNov 30, 2007
Details
- NPI
- 1497948111
- Entity type
- Organization (NPI-2)
- Legal business name
- Meridia Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2007
- Last updated
- Nov 30, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 34001608T | OH | Yes |
Practice location
8316 Yellowbrick RdMentor, OH 44060-4960
Phone 440-205-8818 · Fax 440-974-1794
Mailing address
275 Springside DrSuite 100
Akron, OH 44333-4548
Phone 234-466-4083 · Fax 866-211-7728
Authorized official
Michael O'Connell
V.P Of Operations
2167613300
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