| NPI | 1528210911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA RUTH BEICHLER Physician 330-493-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 34003309) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |