| NPI | 1285811307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G YOUNG Office Manager 419-480-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35056123) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-04-28 |