| NPI | 1578745568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L NEIDICH Medical Director 419-879-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 1685871) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2020-01-24 |