| NPI | 1093741365 |
|---|---|
| Other Name | OTHER |
| Entity Type | Organization |
| Authorized Contact | SAMATHA PLATZKE CFO 419-251-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-01-13 |