| NPI | 1578595765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER M WALESKOWSKI Practice Administrator 937-279-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-09-20 |