| NPI | 1033546981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L DWYER Credentialing Supervisor 419-824-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 2086S0102X Surgery, Surgical Critical Care | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2025-08-07 |