Provider First Line Business Practice Location Address:
11100 EUCLID AVE
Provider Second Line Business Practice Location Address:
UNIVERSITY HOSPITALS CASE MEDICAL CENTER
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44106-1716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-844-2562
Provider Business Practice Location Address Fax Number:
216-844-8216
Provider Enumeration Date:
03/26/2013