| NPI | 1730358169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J SCOTT WILCHER Owner 937-276-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35-061598) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35-061598) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35-061598) | |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2011-06-20 |