| NPI | 1710913033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SECKINGER Secretary 419-675-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35075560) |
| Additional Taxonomies | 208600000X Surgery |
| 208D00000X General Practice (Licence: OH 34008871) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2022-07-21 |