| NPI | 1659543676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN B BRADLEY Owner 419-224-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35042423B) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |