| NPI | 1235568981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILANI L HARMON Director Of Billing And Collection 419-843-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2020-09-02 |