City Of Willowick

Specialty details in registry · Willowick, OH

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At a glance

30435 Lake Shore Blvd, Willowick, OH 44095-4624

NPPES record updated Aug 13, 2007. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

30435 Lake Shore Blvd
Willowick, OH 44095-4624
Professional details: NPI, taxonomy & registry record
NPI1003958224
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
341600000X
Enumeration date
Feb 13, 2007
Record updated
Aug 13, 2007
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

341600000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

30435 Lake Shore Blvd
Willowick, OH 44095-4624
Phone
(440) 585-1202
Fax
(440) 585-4112
Mailing address
30435 LAKE SHORE BLVD

WILLOWICK, OH 440954624
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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