| NPI | 1689702870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY I WILLIAMS Office Manager 330-345-5374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 34074032k) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2015-01-21 |