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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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