| NPI | 1366495863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KAYE LEE Owner/President 419-227-5298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 03673) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-04-20 |