| NPI | 1629219738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M MARTIN Owner 419-602-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: OH 1738328) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |