| NPI | 1336425669 |
|---|---|
| Doing Business As | HERITAGE PRIMARY CARE AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY B NOFTZ President 419-202-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2012-01-12 |