NPI | 1538832894 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WAGNER Owner 614-218-8769 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TH0004X Psychologist, Health | |
1041C0700X Social Worker, Clinical | |
133VN1301X Dietitian, Registered, Nutrition, Oncology | |
207RX0202X Internal Medicine, Medical Oncology | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2021-07-31 |
Last Update Date | 2021-07-31 |