Organization
DIGESTIVE HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MODISH LANE M.D. (ADMINISTRATOR)
(216) 591-1862
Entity
Organization
Contact information
Practice address
23250 CHAGRIN BLVD, SUITE 110, BEACHWOOD, OH 44122-5470
(216) 591-1862
(440) 729-6001
Mailing address
23250 CHAGRIN BLVD, SUITE 110, BEACHWOOD, OH 44122
(216) 591-1862
(440) 729-6001
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0348AS
OH
Other
Enumeration date
06/07/2007
Last updated
03/19/2008
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