| NPI | 1699444083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANNON CHARLES DUNCAN Cmo / Co Owner 419-464-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |