| NPI | 1598141186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M HEMKER CFO 440-240-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2021-04-29 |