Healthcare Provider Details

I. General information

NPI: 1578752200
Provider Name (Legal Business Name): GERMAN L.NERI, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 10/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14601 DETROIT AVE STE 730
LAKEWOOD OH
44107-4251
US

IV. Provider business mailing address

14601 DETROIT AVE STE 730
LAKEWOOD OH
44107-4251
US

V. Phone/Fax

Practice location:
  • Phone: 216-226-3577
  • Fax: 216-226-3599
Mailing address:
  • Phone: 216-226-3577
  • Fax: 216-226-3599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number35-032276
License Number StateOH

VIII. Authorized Official

Name: DR. GERMAN L NERI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 216-226-3577