| NPI | 1790918514 |
|---|---|
| Doing Business As | GCH PHYSICIAN PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DONALD ERIC PRAIME Chief Financial Officer 419-468-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2014-12-18 |