| NPI | 1376228361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RALSTON VP Reimbursement 419-996-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |