Organization
E N T GRP OF CLEVELAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J WLADECKI M.D. (PRACTICE OWNER)
(440) 808-9469
Entity
Organization
Contact information
Practice address
805 COLUMBIA RD, SUITE #111, WESTLAKE, OH 44145-1487
(440) 808-9469
(440) 808-9532
Mailing address
805 COLUMBIA RD, SUITE #111, WESTLAKE, OH 44145-1487
(440) 808-9469
(440) 808-9532
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35059673W
OH
Other
Enumeration date
03/28/2007
Last updated
09/28/2009
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