Organization
PATRIOT LLC
Active
Other names
Patriot Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MICHAEL KUSZMAUL (CO-OWNER)
(216) 221-8896
Entity
Organization
Contact information
Practice address
585 GOLDEN OAK PKWY, OAKWOOD VILLAGE, OH 44146-6501
(216) 221-8896
(216) 221-8897
Mailing address
585 GOLDEN OAK PKWY, OAKWOOD VILLAGE, OH 44146-6501
(216) 221-8896
(216) 221-8897
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
021770700
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2811050
—
OH
Enumeration date
11/02/2007
Last updated
07/30/2013
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