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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIESIDE MEDICAL GROUP

Active Organization

ERIESIDE MEDICAL GROUP is a Family Medicine organization located in WILLOUGHBY, Ohio. NPI 1891751657 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WILLOUGHBY, OH

Registration Details

NPI Number
1891751657
Provider Type
Organization
NPI Issued
Apr 21, 2006 (20.335744181155 yrs)
Last Updated
Jun 10, 2010
Licenses
35-06-5285H (OH)
34-003413F (OH)
35-06-1390M
35-052285D (OH)

Practice Information

Address
38429 LAKE SHORE BLVD
WILLOUGHBY, OH, 440947009
Browse OH providers · Browse ZIP 44094
Phone
4409469200
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Internal Medicine
Additional Specialty
Family Medicine

Other Family Medicine Organizations in WILLOUGHBY, OH

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.