| NPI | 1558640219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY W TANNER General Surgery Resident 330-402-5936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |