# MERIDIA MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1497948111
- **Authorized official:** MICHAEL O'CONNELL (V.P OF OPERATIONS)
- **Authorized official phone:** (216) 761-3300

## Contact information

- **Practice address:** 8316 YELLOWBRICK RD, MENTOR, OH 44060-4960
- **Practice address phone:** (440) 205-8818
- **Practice address fax:** (440) 974-1794
- **Mailing address:** 275 SPRINGSIDE DR, SUITE 100, AKRON, OH 44333-4548
- **Mailing address phone:** (234) 466-4083
- **Mailing address fax:** (866) 211-7728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34001608T | OH | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 11/30/2007
