Organization
HEALTHSPAN INTEGRATED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A NOWISKI (CFO)
(513) 639-2722
Entity
Organization
Contact information
Practice address
19999 ROCKSIDE RD, BEDFORD, OH 44146-2074
(216) 265-8810
(216) 265-8890
Mailing address
615 ELSINORE PL, CINCINNATI, OH 45202-1459
(513) 639-2722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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