| NPI | 1649892225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA DACRE CFO, Medical Group 419-251-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207K00000X Allergy & Immunology | |
| 207N00000X Dermatology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208800000X Urology | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-08-26 |