| NPI | 1265611149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ROSE CHMIELOWICZ Billing Spervisor 419-843-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35071412) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-11-01 |