| NPI | 1508045329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES G FELIX Owner 419-885-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35082833) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-11-29 |