| NPI | 1689836256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER BURTON SNYDER President 419-352-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: OH 699) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |