Organization
WOOSTER CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
721 E MILLTOWN RD, WOOSTER, OH 44691-1255
(330) 287-4500
Mailing address
6801 BRECKSVILLE RD, STE 20, ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0705AS
OH
Other
Enumeration date
01/26/2007
Last updated
08/05/2025
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