Organization
LOUIS STOKES VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PETRAK (MANAGEMENT AND PROGRAM ANALYST)
(216) 791-3800
Entity
Organization
Contact information
Practice address
2082 EAST 4TH ST APT #401, CLEVELAND, OH 44115-1044
(614) 625-9161
Mailing address
2082 EAST 4TH ST APT #401, CLEVELAND, OH 44115-1044
(614) 625-9161
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
OH
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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