| NPI | 1295915320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DORCIK President 419-602-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.006377) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: MS 14179) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MS 14179) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2023-03-07 |