| NPI | 1639462674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE P SIMONSEN-MONUS Director, Billing Services 419-473-3561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2013-10-01 |