| NPI | 1730109562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRED JG ELLIS CEO 419-229-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35060082) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-07-29 |