| NPI | 1811258981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SWANSON Owner 330-519-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME96037) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-09-26 |