| NPI | 1538353750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE S BARKER Office Manager 419-486-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 3369101) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2008-03-27 |