Organization
ROGER F. CLASSEN, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER F. CLASSEN D.O. (PHYSICIAN)
(216) 561-0111
Entity
Organization
Contact information
Practice address
4100 WARRENSVILLE CENTER RD, SUITE #101, WARRENSVILLE HEIGHTS, OH 44122-7024
(216) 561-0111
(216) 561-0113
Mailing address
4100 WARRENSVILLE CENTER RD, SUITE #101, WARRENSVILLE HEIGHTS, OH 44122-7024
(216) 561-0111
(216) 561-0113
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34-00-2162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335140
—
OH
01
—
9175381
MEDICARE PTAN GROUP
OH
Enumeration date
03/30/2007
Last updated
10/10/2011
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