| NPI | 1295847317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULLA TAJA President 419-228-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0802AS) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-11-29 |