| NPI | 1093705774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S. EFAW Business Manager 419-774-9410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OH 0469AS) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-08-22 |