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Organization

UNIVERSITY NEUROSURGEONS OF CLEVELAND,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERTA LILLY-TRAKAS (PRACTICE ADMINISTRATOR)
(216) 844-5754
Entity
Organization

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1736
(216) 844-5754
Mailing address
5910 LANDERBROOK DR, SUITE 250, MAYFIELD HTS, OH 44124-6508
(440) 684-5816
(440) 449-1555

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0620199
OH
01
CA3390
RAILROAD MEDICARE
OH
Enumeration date
06/03/2006
Last updated
08/22/2020
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