| NPI | 1811663578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SHAWVER Administrative Director 419-469-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology Vascular Neurology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |