| NPI | 1316498629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY UTZ Director Of Lmp 419-998-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2022-04-09 |