| NPI | 1831365238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA A HOMAN Biller 419-763-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003384) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2009-12-10 |