| NPI | 1114954617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BECKER Medical Doctor 419-522-0948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35079962B) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-08-22 |