| NPI | 1215994777 |
|---|---|
| Doing Business As | DBA FREDRIC LAX |
| Entity Type | Organization |
| Authorized Contact | BRIAN SMITH Executive Vice President 419-226-9052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: OH 35067534) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2022-01-13 |