Organization
WESTSHORE DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A MULLIGAN (OWNER PRESIDENT)
(440) 617-9114
Entity
Organization
Contact information
Practice address
1991 CROCKER RD, SUITE 310, WESTLAKE, OH 44145-6969
(440) 617-9114
(440) 617-9058
Mailing address
1991 CROCKER RD STE 310, WESTLAKE, OH 44145-6971
(440) 617-9114
(440) 617-9058
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2369628
—
OH
01
—
CK8391
RAILROAD CARE
OH
Enumeration date
09/16/2006
Last updated
11/18/2025
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