| NPI | 1730713967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SWARTZ Office Manager 419-229-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2023-03-16 |