# MMCLE LLC

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

## Provider details

- **NPI number:** 1518673094
- **Authorized official:** DAVID JANSEN (COO)
- **Authorized official phone:** (636) 578-8238

## Contact information

- **Practice address:** 1440 ROCKSIDE RD STE 109, PARMA, OH 44134-2749
- **Practice address phone:** (216) 616-7162
- **Mailing address:** 1440 ROCKSIDE RD STE 109, PARMA, OH 44134-2749
- **Mailing address phone:** (216) 616-7162

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2023
- **Last updated:** 01/27/2023