| NPI | 1659570406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYL L MCANINCH Office Manager 419-537-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 261Q00000X) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2010-07-01 |