| NPI | 1700973492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY F WIREBAUGH Administraing Physician 419-872-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35050638W) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-10-26 |