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Organization

BES OF OHIO, LLC, DBA MEDGROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEAN W. ERICKSON M.D. (PRESIDENT)
(330) 864-1916
Entity
Organization

Contact information

Practice address
2640 W MARKET ST, FAIRLAWN, OH 44333-4202
(330) 864-1916
(330) 864-1924
Mailing address
PO BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 464-5160
(216) 464-5982

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary

Other

Enumeration date
08/30/2006
Last updated
08/29/2007
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