Medsource Md, Inc.

NPI #1922263649 in Euclid, Ohio

Provider Information

NPI Number: 1922263649
Entity Type: Organization
Organization Name: Medsource Md, Inc.
Primary Specialty: Home Health
Enumeration Date: Jul 22, 2008
Last Updated: Dec 10, 2008

Practice Location

Address: 27801 EUCLID AVE
Address 2: SUITE 550
City: Euclid
State: Ohio
ZIP Code: 44132-3549
Phone: (216) 289-9112

Authorized Official

Name: MR. TERRY L MAYNARD SR.
Title: VICE PRESIDENT
Phone: (216) 289-9112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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