| NPI | 1316129307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI WILLIAMS Credentialing Coordinator 419-842-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2022-07-21 |