| NPI | 1821393117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD GREGORY WEATHERS President 419-474-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 44035) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |