| NPI | 1821267451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARALEA D WOLFRAM Medical Biller 419-885-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: OH 35-04-1807-W) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-07-30 |