| NPI | 1861446940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY LEE CLIMO President 419-345-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: OH 35057925C) |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2019-09-10 |