| NPI | 1619070224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R HEAPHY President 419-229-6781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35040604) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35040604) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35040604) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2019-12-31 |