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Individual

EDMOND WILLIAM BLADES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30701 CLEMENS ROAD, WESTLAKE, OH 44145
(440) 617-1212
(440) 617-1213
Mailing address
30701 CLEMENS ROAD, WESTLAKE, OH 44145
(440) 617-1212
(440) 617-1213

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35050649
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0698311
OH
01
100009805
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
08/12/2015
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