MARYMOUNT PRIMARY CARE SERVICES INC NPI 1639361074

NPI Information

MARYMOUNT PRIMARY CARE SERVICES, INC is an obstetrics gynecology in Garfield Heights, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MARYMOUNT PRIMARY CARE SERVICES, INC NPI is 1639361074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12000 MCCRACKEN RD
SUITE 450
GARFIELD HEIGHTS, OH
ZIP 44125-964
Phone: (216) 663-7355
Fax: (216) 663-7193

The provider's authorized official is Peter P Walchanowicz .
The authorized official title is Practice Manager and has the following contact phone number (440) 543-8855.

The CLIA number assigned to this NPI record is 36D2289619 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2007 and was last updated on 5/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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