| NPI | 1063736726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VIRGIL TIRMONIA President/Owner 330-489-1428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 34-00-6209-T) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |