Organization
LOUIS STOKES VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PETRAK (MANAGEMENT AND PROGRGAM ANALYST)
(216) 791-3800
Entity
Organization
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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