| NPI | 1437226636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PENWELL Billing Manager 419-626-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35070175) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2017-11-08 |