| NPI | 1568641462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY M COLEMAN Practice Administrator 440-930-8187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35068585P) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2009-01-06 |