Ohio Permanente Medical Group

NPI #1073882445 in Medina, Ohio

Provider Information

NPI Number: 1073882445
Entity Type: Organization
Organization Name: Ohio Permanente Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Dec 14, 2011
Last Updated: Dec 14, 2011

Practice Location

Address: 3443 MEDINA RD
Address 2: SUITE 108
City: Medina
State: Ohio
ZIP Code: 44256-5360
Phone: (216) 265-8844

Authorized Official

Name: MR. CRAIG FAERBER
Title: VP/CFO
Phone: (216) 265-8844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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