| 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 |