Organization
UNIVERSITY PRIMARY CARE PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN CHINCHAR (OFFICE MANAGER)
(216) 383-6480
Entity
Organization
Contact information
Practice address
50 BLAINE AVE STE 2300V, BEDFORD, OH 44146-2709
(216) 383-6480
(216) 383-6745
Mailing address
PO BOX 74913, CLEVELAND, OH 44194-0996
(216) 383-6480
(216) 383-6745
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
04/30/2007
Last updated
08/22/2020
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