| NPI | 1801163811 |
|---|---|
| Doing Business As | ASHTABULA ANESTHESIA |
| Entity Type | Organization |
| Authorized Contact | JODY BOHLKE Credentialing Specialist 605-444-8279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0774AS) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |