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Organization

KIVA SHTULL MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIVA SHTULL MD (PHYSICIAN)
(216) 431-0927
Entity
Organization

Contact information

Practice address
4450 SAINT CLAIR AVE, CLEVELAND, OH 44103-1126
(216) 431-0927
Mailing address
4450 SAINT CLAIR AVE, CLEVELAND, OH 44103-1126
(216) 431-0927

Taxonomy

Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
051031
OH

Other

Enumeration date
08/10/2014
Last updated
08/10/2014
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