| NPI | 1568830909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI TUNGPALAN-GRONDOLSKY President 419-230-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI 14755) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |