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General NPI Number Information
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NPI Number | 1023011350
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Entity Type | Individual
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Provider Name | THOMAS LEE MCGREW M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 6803 MAYFIELD RD STE 305
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2271
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Country | US
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Telephone | 440-312-9000
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Fax | 440-312-9001
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Provider Business Mailing Address
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Address Line | 6803 MAYFIELD RD STE 305
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2271
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Country | US
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Telephone | 440-312-9000
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Fax | 440-312-9001
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35046951M
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License Number State | OH
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