| NPI | 1699708438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KERN MOSTOW Chief Financial Officer 330-665-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35064845M) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-11-01 |