| NPI | 1578600862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERIEL Y BERNBLUM President Md 419-893-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 38677) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 40287) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2010-02-02 |