| NPI | 1144400672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALLIE B GASIEWSKI Medical Biller 216-383-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35058732) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |