Healthspan Integrated Care
Internal Medicine in Rocky River, OH. Organization (NPI-2).
NPI number1912334905
StatusActive
Last updated in NPPESOct 4, 2013
Details
- NPI
- 1912334905
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthspan Integrated Care
- Organization subpart
- No
- Enumeration date
- Oct 4, 2013
- Last updated
- Oct 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 208000000X | Pediatrics | – | – |
Practice location
20575 Center Ridge RdSuite 500
Rocky River, OH 44116-3422
Phone 216-265-8810 · Fax 216-265-8890
Mailing address
615 Elsinore PlCincinnati, OH 45202-1459
Phone 513-639-2722
Authorized official
David A Nowiski
Cfo
5136392722
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