NPI | 1548207111 |
---|---|
Doing Business As | CANAL PHYSICIAN GROUP |
Entity Type | Organization |
Authorized Contact | KENNETH BRAMAN Chief Medical Officer 330-665-8302 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-06-01 |
Last Update Date | 2014-11-05 |