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Specialty details in registry · Mentor, OH

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At a glance

5930 Heisley Rd, Mentor, OH 44060-1834

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

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

Practice location

5930 Heisley Rd
Mentor, OH 44060-1834
Professional details: NPI, taxonomy & registry record
NPI1275588808
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM0801X
Enumeration date
May 23, 2006
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM0801X · Primary

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

Practice location

5930 Heisley Rd
Mentor, OH 44060-1834
Phone
(440) 354-9924
Mailing address
5930 HEISLEY RD

MENTOR, OH 440601834
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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