| NPI | 1285815712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORY S IGNARSKI Office Manager 419-222-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35076123) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |