| NPI | 1366642498 |
|---|---|
| Doing Business As | PREVENTIVE MEDICINE GROUP |
| Entity Type | Organization |
| Authorized Contact | SUSAN ANN WENGER Manager 440-835-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |