Individual
ALFREDO REYES AUSTRIACO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
970 E WASHINGTON ST, SUITE #103, MEDINA, OH 44256-3332
(330) 725-5860
(330) 725-4737
Mailing address
970 E WASHINGTON ST, SUITE #103, MEDINA, OH 44256-3332
(330) 725-5860
(330) 725-4737
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
034065
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226259
—
OH
Enumeration date
01/13/2006
Last updated
07/08/2007
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