| NPI | 1821003674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WOODS Md/Owner 330-884-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35-067749) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35-067749) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-10-15 |