Customcare MD LLC
NPI #1093904476 in South Euclid, Ohio
Provider Information
- NPI Number
- 1093904476
- Entity Type
- Organization
- Organization Name
- Customcare MD LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 22, 2007
- Last Updated
- Feb 18, 2008
Practice Location
- Address
- 1611 S GREEN RD
- Address 2
- SUITE 213
- City
- South Euclid
- State
- Ohio
- ZIP Code
- 44121-4128
- Phone
- (216) 381-1520
Authorized Official
- Name
- DR. TODD WILLIAM LOCKE, M.D.
- Title
- PARTNER
- Phone
- (216) 381-1520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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