| 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 |