Organization
MERIDIA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL O'CONNELL (V.P OF OPERATIONS)
(216) 761-3300
Entity
Organization
Contact information
Practice address
12000 MCCRACKEN RD, SUITE 108, GARFIELD HEIGHTS, OH 44125-2964
(216) 475-1551
(216) 261-1644
Mailing address
275 SPRINGSIDE DR, SUITE100, AKRON, OH 44333-4548
(234) 466-4083
(866) 211-7728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34001608T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2716083
—
OH
Enumeration date
08/22/2007
Last updated
08/22/2007
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