| NPI | 1093902942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXTER M GENSOLIN President 419-592-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35079093) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2012-01-09 |