| NPI | 1164819835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH PICKETT Director 419-574-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS015197) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD445342) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-05-13 |