| NPI | 1336697184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M HEMKER CFO 440-240-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208000000X Pediatrics |
| 208D00000X General Practice | |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2021-06-22 |