| NPI | 1386644847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MORRIS Owner 419-626-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-06-0239-M) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34-00-6386-M) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2007-12-20 |