| NPI | 1043372485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE F. KOSKINEN Owner 419-877-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OH 1510) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2012-04-13 |