Organization
GREAT LAKES GASTROENTEROLOGY RESEARCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH NOWAK (ADMINISTRATIVE COORDINATOR)
(440) 205-1225
Entity
Organization
Contact information
Practice address
9485 MENTOR AVE, SUITE 105, MENTOR, OH 44060-4597
(440) 205-1225
(440) 205-1275
Mailing address
9485 MENTOR AVE, SUITE 105, MENTOR, OH 44060-4597
(440) 205-1225
(440) 205-1275
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
Primary
—
—
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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