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Organization

UNIVERSITY HOSPITALS MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY MCELROY (VP)
(216) 767-8717
Entity
Organization

Contact information

Practice address
895 S BROADWAY, GENEVA, OH 44041-9146
(216) 844-3601
(216) 844-7117
Mailing address
3606 WARRENSVILLE CTR RD, MSC9152, SHAKER HTS, OH 44122
(216) 286-6299
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OH
207W00000X
Ophthalmology Physician
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2691903
OH
Enumeration date
07/20/2009
Last updated
07/20/2009
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