Provider First Line Business Practice Location Address:
11100 EUCLID AVE.
Provider Second Line Business Practice Location Address:
UNIVERSITY HOSP OF CLEVELAND MICU 3RD FLR MATHER PAV
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-844-2130
Provider Business Practice Location Address Fax Number:
216-844-2113
Provider Enumeration Date:
09/15/2006