| NPI | 1184001745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRIESEN Director Of Medicine 440-748-1049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 16327-NP) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |