| NPI | 1790070191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN KRIVETZKY President 330-546-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35072306K) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |