| NPI | 1184761405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A. MILLER Owner/Practice Manager 330-799-8752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-04-28 |