| NPI | 1619178837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA S JAMIOLKOWSKI Doctor 740-450-4271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 34-007-115J) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2010-04-27 |