| NPI | 1104214261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G JAMES Authorized Offical 419-843-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OH 1086AS) |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2014-12-24 |