Individual
STANLEY L HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE., CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 WEST CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35073695H
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35.073695
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2245921
—
OH
Enumeration date
10/05/2006
Last updated
05/19/2022
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