| NPI | 1861568925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN D MEIZIN Office Manager 440-887-9605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-10-29 |