Individual
RICHARD C HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10654 LORAIN AVE, CLEVELAND, OH 44111-5411
(216) 941-1044
(216) 941-5848
Mailing address
10654 LORAIN AVE, CLEVELAND, OH 44111-5411
(216) 941-1044
(216) 941-5848
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35066001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000353558
ANTHEM BC/BS
OH
05
—
0157468
—
OH
01
—
351424
WELLCARE
OH
Enumeration date
05/23/2006
Last updated
01/13/2009
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