Organization
NORTH OHIO GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA BOESINGER (ADMINISTRATOR)
(440) 617-1212
Entity
Organization
Contact information
Practice address
30701 CLEMENS ROAD, WESTLAKE, OH 44145
(440) 617-1212
(440) 617-1213
Mailing address
30701 CLEMENS ROAD, WESTLAKE, OH 44145-1493
(440) 617-1212
(440) 617-1213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
OH
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/25/2008
Last updated
08/01/2012
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