Erieside Medical Group Valid NPI

Organization · Family Medicine Physician · Willoughby, OH

NPI

1891751657

Type

Organization (Type 2)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

35-052285D (OH)

Enumerated

2006-04-21

Last updated

2010-06-10