| NPI | 1285826156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GOVAN Credentialing Coordinator 419-824-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34007277) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |