| NPI | 1518361849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY UTZ Director Of Lmp 419-998-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2019-07-02 |