| NPI | 1356487086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD RICHARDSON President 419-775-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 047919) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |