Individual
FREDERICK L MOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20455 LORAIN RD STE 104B, FAIRVIEW PARK, OH 44126-3529
(234) 525-6999
(234) 525-6999
Mailing address
20455 LORAIN RD STE 104B, FAIRVIEW PARK, OH 44126-3529
(234) 525-6999
(234) 525-6999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-009830
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000714831
ANTHEM
OH
05
—
3111519
—
OH
05
—
3810020456
—
WV
Enumeration date
07/03/2008
Last updated
11/07/2025
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