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Organization
PREVENTIVE MEDICINE GROUP INC
Active
Organization
PREVENTIVE MEDICINE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CASSELBERRY MD (TAX ID OWNER)
(440) 995-0555
Entity
Organization
Contact information
Practice address
5555 MAYFIELD RD, LYNDHURST, OH 44124-2939
(440) 995-0555
(440) 995-1444
Mailing address
5555 MAYFIELD RD, LYNDHURST, OH 44124-2939
(440) 995-0555
(440) 995-1444
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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