| NPI | 1477590305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD R MAGEE President 419-998-8207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 84224) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2008-06-21 |