| NPI | 1184640658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN FORD DILLER President 419-332-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-045285) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-05-28 |