Organization
CUSTOMCARE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD WILLIAM LOCKE M.D. (PARTNER)
(216) 381-1520
Entity
Organization
Contact information
Practice address
1611 S GREEN RD, SUITE 213, SOUTH EUCLID, OH 44121-4128
(216) 381-1520
Mailing address
1611 S GREEN RD, SUITE 213, SOUTH EUCLID, OH 44121-4128
(216) 381-1520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52123
OH
Other
Enumeration date
10/22/2007
Last updated
02/18/2008
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