Organization
HEALTHSPAN INTEGRATED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A NOWISKI (CFO)
(513) 639-2722
Entity
Organization
Contact information
Practice address
12301 SNOW RD, PARMA, OH 44130-1002
(216) 265-8810
(216) 265-8890
Mailing address
615 ELSINORE PL, CINCINNATI, OH 45202-1459
(513) 639-2722
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
OH
Other
Enumeration date
09/24/2013
Last updated
09/02/2015
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