| NPI | 1326189499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T KUNESH Medical Director 937-298-1093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 106) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2011-05-02 |