Organization
MEDXM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW MANN MINARIK PA-C (PHYSICIAN ASSISTANT)
(440) 724-6363
Entity
Organization
Contact information
Practice address
21576 N PARK DR, FAIRVIEW PARK, OH 44126-2324
(440) 724-6363
Mailing address
21576 N PARK DR, FAIRVIEW PARK, OH 44126-2324
(440) 724-6363
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
5601006700
MI
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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