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Organization

LOUIS STOKES VA MEDICAL CENTER

Active
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Organization

LOUIS STOKES VA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN PETRAK (MANAGEMENT AND PROGRAM ANALYST)
(216) 791-3800
Entity
Organization

Contact information

Practice address
10701 EAST BLVD, DENTAL SERVICE 160 (W), CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 231-3427
Mailing address
10701 EAST BLVD, DENTAL SERVICE 160 (W), CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 231-3427

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—

Other

Enumeration date
05/02/2011
Last updated
05/02/2011
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