Ohio Permanente Medical Group

NPI #1952685851 in Mentor, Ohio

Provider Information

NPI Number: 1952685851
Entity Type: Organization
Organization Name: Ohio Permanente Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Oct 11, 2011
Last Updated: Oct 11, 2011

Practice Location

Address: 7695 MENTOR AVE
City: Mentor
State: Ohio
ZIP Code: 44060-5540
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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