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Organization
LOUIS STOKES VA MEDICAL CENTER
Active
Organization
LOUIS STOKES VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PETRAK (AUTHORIZED OFFICIAL)
(216) 791-3800
Entity
Organization
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 231-3427
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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