| NPI | 1538381140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KATHLEEN SHANNON Employer 330-327-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34007656) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |