| NPI | 1487982112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA L. THESING Office Manager 330-331-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35067926) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2011-08-10 |