| NPI | 1821148404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWIN EXTEN Pres 419-756-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-10-04 |