Organization
CLEVELAND CLINIC FOUNDATION FAIRVIEW HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY W RAUH (COO)
(440) 448-0036
Entity
Organization
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7017
Mailing address
PO BOX 74957, CLEVELAND, OH 44194-1040
(440) 808-3700
(440) 808-3675
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
10/25/2006
Last updated
02/28/2008
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