NPI | 1104933829 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER LEE WOHLWEND Family Physician 419-885-7212 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-004668) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2008-07-22 |