| NPI | 1700408093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RALSTON System Director 419-996-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 103T00000X Psychologist |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208800000X Urology | |
| 208M00000X Hospitalist | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 231H00000X Audiologist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2023-12-19 |