| NPI | 1114193653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY C. MALUDY Owner 419-842-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 3504885773) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2014-12-16 |