Organization
REGENERATIVE MEDICINE OF OHIO LLC
Active
Other names
REGENERATIVE MEDICINE OF OHIO LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J MCCLUSKEY (STATUTORY AGENT)
(440) 884-0083
Entity
Organization
Contact information
Practice address
9257 W SPRAGUE RD, NORTH ROYALTON, OH 44133-1208
(440) 884-0083
(440) 884-6864
Mailing address
9257 W SPRAGUE RD, NORTH ROYALTON, OH 44133-1208
(440) 884-0083
(440) 884-6864
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
35.050134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.050134
MEDICAL LICENSE
OH
Enumeration date
07/20/2018
Last updated
07/20/2018
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