NPI | 1518589803 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF RECKER Director Finance, Medical Group 419-996-2698 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
207RP1001X Internal Medicine, Pulmonary Disease | |
207VG0400X Obstetrics & Gynecology, Gynecology | |
207K00000X Allergy & Immunology | |
207N00000X Dermatology | |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207X00000X Orthopaedic Surgery | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208800000X Urology | |
208M00000X Hospitalist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2020-05-11 |
Last Update Date | 2023-03-24 |