Healthspan Integrated Care

NPI #1457788234 in Mentor, Ohio

Provider Information

NPI Number: 1457788234
Entity Type: Organization
Organization Name: Healthspan Integrated Care
Primary Specialty: Internal Medicine
Enumeration Date: Oct 11, 2013
Last Updated: Oct 11, 2013

Practice Location

Address: 7695 MENTOR AVE
City: Mentor
State: Ohio
ZIP Code: 44060-5540
Phone: (216) 265-8810

Authorized Official

Name: MR. DAVID A NOWISKI
Title: CFO
Phone: (513) 639-2722

Specialties & Taxonomy Codes

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

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