| NPI | 1427316637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE POLO Operations Manager 440-234-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35038665) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |