Organization
MERIDIA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL O'CONNELL (V.P OF OPERATIONS)
(216) 761-3300
Entity
Organization
Contact information
Practice address
26151 EUCLID AVE, SUITE 201, EUCLID, OH 44132-3300
(216) 261-7970
(216) 261-6191
Mailing address
275 SPRINGSIDE DR, AKRON, OH 44333-4548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34001608T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691118
—
OH
Enumeration date
08/15/2007
Last updated
11/16/2007
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