| NPI | 1073783791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT T BOEHM President 419-427-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2010-06-04 |