| NPI | 1154692838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DIMICKELE President 614-421-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: OH NP07477) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2022-02-09 |