| NPI | 1407972862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDELBERT J KUEBECK President 419-354-3921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35045108K) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-04-22 |