| NPI | 1497099634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WEEKS Owner 330-608-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35094835) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH NP09134) |
| 111N00000X Chiropractor (Licence: OH 4190) | |
| 111N00000X Chiropractor (Licence: OH 3529) | |
| 111N00000X Chiropractor (Licence: OH 4504) | |
| Enumeration Date | 2012-11-10 |
| Last Update Date | 2016-12-07 |