| NPI | 1760662217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD SMALLWOOD President 419-385-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35067079S) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2013-09-10 |