| NPI | 1760798318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KOPROWSKI Office Manager 330-468-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 34002808) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-09-14 |