| NPI | 1811361918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PAUL GEORGE Sole Member 419-756-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |