| NPI | 1720267248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN RAYMOND LOGAN Owner 419-420-7304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35051273) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2010-09-02 |