| NPI | 1346419744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | V. DIANA TIMPERMAN Physician 419-529-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35048163) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2011-04-06 |