| NPI | 1114354081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L DWYER Credentiailng Supervisor 419-824-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |