Provider First Line Business Practice Location Address: 
CLEVELAND CLINIC MAIN CAMPUS 9500 EUCLID AVE OH
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
CLEVELAND
    Provider Business Practice Location Address State Name: 
OH
    Provider Business Practice Location Address Postal Code: 
44195-1005
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
216-445-9305
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
07/13/2014