NPI #
14600 Detroit Ave
Lakewood, OH, 44107-4207
50-000552
OH
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
363A00000X
14601 Detroit Ave
Lakewood, OH, 44107-4205
Lakewood, OH, 44107-4214
14519 Detroit Ave
Lakewood, OH, 44107-4316