| NPI | 1538243704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA J. GUIBORD Owner, CEO 419-872-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-005868-G) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-07-21 |