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Organization
SOUTHWEST GENERAL MEDICAL GROUP, INC
Active
Organization
SOUTHWEST GENERAL MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WAGNER (EXECUTIVE DIRECTOR)
(440) 816-4906
Entity
Organization
Contact information
Practice address
18697 BAGLEY RD, CLEVELAND, OH 44130-3417
(440) 816-6051
Mailing address
PO BOX 638269, CINCINNATI, OH 45263-0001
(440) 816-6051
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
02/28/2019
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