| NPI | 1225085855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA G FREDERICK CEO 419-626-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207Y00000X Otolaryngology | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 208VP0000X | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-04-10 |