| NPI | 1356463640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ADAM NOCKOWITZ Physician 419-229-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology Psychosomatic Medicine (Licence: OH 72394) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-11-04 |