| NPI | 1780903856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STOKES Resident/CEO 419-241-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 12559) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 12559) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |