| NPI | 1700774692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE BODNAR Practice Manager 513-561-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |