| NPI | 1093085466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT BALLINGER Owner 419-756-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-04-6477B) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |