Provider First Line Business Practice Location Address:
3838 W 150TH ST
Provider Second Line Business Practice Location Address:
METROHEALTH WEST PARK MEDICAL BLDG
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44111-5805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-957-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2006