| NPI | 1316119019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J RILEY CFO 419-557-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2024-10-23 |