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Organization
GREGORY P KEZELE MD LLC
Active
Organization
GREGORY P KEZELE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY P KEZELE MD (OWNER)
(440) 413-0499
Entity
Organization
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 918-6341
(440) 918-6342
Mailing address
601 CLINTON LN, HIGHLAND HTS, OH 44143-1962
(440) 413-0499
(440) 446-9095
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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