| NPI | 1104262922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LYNN WILMS Podiatrist 419-788-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 673) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |