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Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization
UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCELROY (CONTROLLER)
(216) 383-6756
Entity
Organization
Contact information
Practice address
1611 S GREEN RD, SUITE 063, SOUTH EUCLID, OH 44121-4128
(216) 844-3944
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691903
—
OH
Enumeration date
05/28/2010
Last updated
05/28/2010
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