| NPI | 1508872342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DENNIS GALLAGHER Partner 419-841-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35052677G) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |