| NPI | 1083896773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDIE BEAL Director, Managed Practices 419-557-5126 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |