# STATE ROAD FAMILY PRACTICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053398206
- **Authorized official:** MR. MATTHEW JOSEPH FRANTZ DO (PRESIDENT)
- **Authorized official phone:** (440) 582-1484

## Contact information

- **Practice address:** 12744 STATE ROAD, NORTH ROYALTON, OH 44133-3910
- **Practice address phone:** (440) 582-1484
- **Practice address fax:** (440) 582-1594
- **Mailing address:** 12744 STATE ROAD, NORTH ROYALTON, OH 44133-3910
- **Mailing address phone:** (440) 582-1484
- **Mailing address fax:** (440) 582-1594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2005
- **Last updated:** 01/06/2009