| NPI | 1316439557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L BISUTTI Owner 614-218-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: OH 35.090054) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-07-25 |