| NPI | 1053088302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF RECKER Director Finance, Medical Group 419-996-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2023-03-24 |