| NPI | 1700542578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D KRANENBURG Owner 937-570-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-11-16 |