| NPI | 1538103296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S CHUNE Owner 937-291-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-10-05 |