| 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 |