| NPI | 1164707766 |
|---|---|
| Doing Business As | GCH PHYSICIAN PRACTICE, GAIUS STREET CAMPUS |
| Entity Type | Organization |
| Authorized Contact | DONALD ERIC DRAIME CFO 419-468-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |