| NPI | 1538125232 |
|---|---|
| Other Name | AMBULATORY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | YOUNG CHAN SHIN President 419-281-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2020-08-22 |