| NPI | 1346582608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY F KOLACZKOWSKI Sole Owner 937-223-1781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-10-07 |