Provider Demographics
NPI:1891936191
Name:THE HEART ATTACK AND STROKE PREVENTION INSTITUTE, LLC
Entity Type:Organization
Organization Name:THE HEART ATTACK AND STROKE PREVENTION INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:UTLAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-492-7194
Mailing Address - Street 1:4455 DRESSLER RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2785
Mailing Address - Country:US
Mailing Address - Phone:330-492-1420
Mailing Address - Fax:330-492-1732
Practice Address - Street 1:4455 DRESSLER RD NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2785
Practice Address - Country:US
Practice Address - Phone:330-492-1420
Practice Address - Fax:330-492-1732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350438782083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty