| NPI | 1013187418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WALLACE President 419-882-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |