| NPI | 1104038595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMILEA GUTHEIL Office Manager 614-878-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34008162) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2008-02-27 |