NPI | 1538356357 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA C KRAFT Office Manager 419-562-9834 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OH 34005746) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2008-01-29 |