| NPI | 1073708251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE ELLIS Office Manager 330-965-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35060641E) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2024-09-19 |