| NPI | 1861700023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN ROBERT SACOLICK Director 614-390-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35052319) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |