| NPI | 1336319060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK THOMAS BERNHOFFER Owner 937-393-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35066504) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |