Organization · Type 2 NPI

The Cleveland Clinic Foundation

General Practice Physician · Concord Township, OH

NPI number 1396675690 Active

Practice location

7519 Fredle Dr
Concord Township, OH 44077-9406

Mailing address

6801 Brecksvilled Rd, Ste 20 Attn: Dpc RK2-7
Independence, OH 44131-5062

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1396675690

The Cleveland Clinic Foundation's National Provider Identifier is 1396675690, issued on May 20, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Concord Township, OH. The record was last updated on May 20, 2026.