| NPI | 1124808712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESRENE BROWN Owner 419-231-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-03 |