| NPI | 1528301488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDREW LANG Sole Member 440-545-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35072067) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |