| NPI | 1780961029 |
|---|---|
| Doing Business As | PATTERSON AVENUE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M RALSTON System Director 419-996-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2021-10-05 |