| NPI | 1356580179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M CARLSON Office Manager 330-726-9582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35042959N) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2012-03-16 |