| NPI | 1750487542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN P MIKULA President 330-372-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-084818) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-01-31 |