| NPI | 1093837569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A WELTY President 937-228-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |