| NPI | 1720250616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT DUDLEY HARRISON Owner 419-333-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34007809H) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34-00-7809-H) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2012-09-18 |