| NPI | 1184684771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON BENNETT Partner 330-376-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-07-12 |