NPI | 1558567636 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY BURMEISTER Administrative Director, Finance 419-891-8024 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 89211) |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2007-06-25 |
Last Update Date | 2022-07-21 |