| NPI | 1508848342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT W. SIVERHUS President Owner 419-843-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35-055589) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OH 35-055589) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2008-04-20 |