| NPI | 1669525929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKENGE AYEOLA JACKSON Principal 419-333-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35084664) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |