Individual
DR. NICHOLAS KOEPPEN EILBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10524 EUCLID AVE, W.O. WALKER CENTER, 8TH FLOOR, CLEVELAND, OH 44106-2205
(216) 844-1000
Mailing address
10524 EUCLID AVE, W.O. WALKER CENTER, 8TH FLOOR, CLEVELAND, OH 44106-2205
(216) 844-1000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35.120556
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35.120556
OH
Other
Enumeration date
05/31/2010
Last updated
12/18/2014
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