| NPI | 1669661138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY C. WOOD President 419-526-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35074869W) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO 42777) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2013-02-28 |