| NPI | 1619060472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A BRENEK Owner 419-227-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP 04615) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |