Organization
OHIO PERMANENTE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN PRAZNIK (TREASURER CFO SENIOR BUSINESS EXECU)
(216) 623-8783
Entity
Organization
Contact information
Practice address
12301 SNOW RD, PARMA, OH 44130-1002
(216) 265-8810
(216) 265-8890
Mailing address
1001 LAKESIDE AVENUE, SUITE 1200, CLEVELAND, OH 44114
(216) 623-8783
(216) 623-8776
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211372
—
OH
Enumeration date
09/19/2006
Last updated
02/21/2008
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