Organization
WATERTOWER PLAZA MEDICAL
Active
Other names
Watertower Plaza Medica
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA L GROVES CPC COC MBP CMA (BILLING AND CREDENTIALING MGR)
(440) 352-4321
Entity
Organization
Contact information
Practice address
25200 CHAGRIN BLVD STE 302, BEACHWOOD, OH 44122-5685
(216) 302-0947
Mailing address
1610 MENTOR AVE STE 2, PAINESVILLE, OH 44077-1745
(440) 352-4321
(440) 352-4321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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