| NPI | 1265297899 |
|---|---|
| Doing Business As | OHIODERM WAPAKONETA LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK CONROY Founder 614-943-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-09-18 |