Organization
MMCLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JANSEN (COO)
(636) 578-8238
Entity
Organization
Contact information
Practice address
1440 ROCKSIDE RD STE 109, PARMA, OH 44134-2749
(216) 616-7162
Mailing address
1440 ROCKSIDE RD STE 109, PARMA, OH 44134-2749
(216) 616-7162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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