Organization
PATRICK D. ENDERS, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK DANIEL ENDERS M.D. (PRESIDENT)
(440) 461-0042
Entity
Organization
Contact information
Practice address
6009 LANDERHAVEN DR, SUITE F, MAYFIELD HEIGHTS, OH 44124-4192
(440) 461-0042
(440) 461-5033
Mailing address
6009 LANDERHAVEN DR, SUITE F, MAYFIELD HEIGHTS, OH 44124-4192
(440) 461-0042
(440) 461-5033
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35039953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000122911
BLUE CROSS BLUE SHIELD
—
05
—
0321842
—
OH
01
—
A75798
UPIN
—
Enumeration date
11/08/2007
Last updated
04/20/2008
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