| NPI | 1184018491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA JEAN SMITH Office Manager 419-517-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: OH 35087835) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2019-10-16 |