| NPI | 1679530414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CERIMELE Billing Department 330-758-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 34002510) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |