NPI | 1851354633 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN M KOSTELNICK Practice Administrator 330-899-9350 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-04-11 |
Last Update Date | 2020-08-14 |