| NPI | 1720145899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PRANAS NEVERAUSKAS Vice President And Secretary 419-726-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34006654) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |