Organization
WESTERN RESERVE PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE J PICHA MD (CEO)
(216) 328-0800
Entity
Organization
Contact information
Practice address
5005 ROCKSIDE RD, #640, INDEPENDENCE, OH 44131-2194
(216) 328-0800
(330) 328-1860
Mailing address
5005 ROCKSIDE RD, #640, INDEPENDENCE, OH 44131-2194
(216) 328-0800
(330) 328-1860
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35051876P
OH
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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