Provider First Line Business Practice Location Address:
4125 MEDINA ROAD, SUITE 104
Provider Second Line Business Practice Location Address:
THE SURGERY CENTER
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-665-8124
Provider Business Practice Location Address Fax Number:
330-665-8129
Provider Enumeration Date:
09/12/2007