| NPI | 1285951772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E WISE President 614-263-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 52105) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-29 |