Organization
CLEVELAND CLINIC FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELLAR DAVIS M.D (PROGRAM DIRECTOR)
(216) 444-2200
Entity
Organization
Contact information
Practice address
1127 EUCLID AVE, APARTMENT 1422, CLEVELAND, OH 44115-1601
(347) 641-0812
Mailing address
1127 EUCLID AVE APT 1422, CLEVELAND, OH 44115-1617
(347) 641-0812
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
OH
Other
Enumeration date
01/28/2011
Last updated
05/04/2012
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