| NPI | 1316975170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA PLATZKE CFO 419-251-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-01-25 |