Individual
HAGAR GRETE FASS-GOYKHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
6801 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2270
(216) 476-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.151291
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2021
Last updated
08/14/2024
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