| NPI | 1205291192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MARCUS BALDWIN President 614-876-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 35029200B) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |