| NPI | 1215022298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK G SIEBENALER Owner 419-691-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OH 35053850S) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |