| NPI | 1619903143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMATHA PLATZKE CFO 419-251-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-01-25 |