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Organization

COMPREHENSIVE GERIATRIC CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN ELAINE BERNER M.D. (PRESIDENT/OWNER)
(937) 901-2876
Entity
Organization

Contact information

Practice address
1110 OAKWOOD AVE, OAKWOOD, OH 45419-2911
(419) 206-1249
(419) 868-1503
Mailing address
1110 OAKWOOD AVE, OAKWOOD, OH 45419-2911
(419) 206-1249
(419) 868-1503

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
310400000X
Assisted Living Facility
35082789
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2428859
OH
Enumeration date
11/09/2007
Last updated
02/28/2023
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