Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35046951M | OH |
NPI | 1023011350 |
---|---|
Provider Name | Dr. Thomas Lee Mcgrew |
First Address | Mayfield Heights, OH 44124-2271 |
Second Address | Mayfield Heights, OH 44124-2271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 30/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0817843 | (05) | OH |
C02353 | (02) | OH |