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 (Licence: MS 14179) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MS 14179) | |
Enumeration Date | 2007-11-06 |
Last Update Date | 2023-03-07 |