Individual
ALICE S RIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVENUE, A10, CLEVELAND, OH 44195
(216) 445-5290
Mailing address
9500 EUCLID AVENUE, A10, CLEVELAND, OH 44195
(216) 445-5290
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35063659R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239156
—
OH
Enumeration date
04/17/2006
Last updated
04/17/2015
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