| NPI | 1154536597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DANIEL WEIDMAN Sole Proprieter 740-296-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 3584922) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-08-10 |