| NPI | 1669418000 |
|---|---|
| Doing Business As | PERRYBURY PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | KRISHNA M RAOTHAMAN President 419-874-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35068896) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MI 35068087) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |