| NPI | 1871357533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN STUTLER Chief Financial Officer 419-290-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-03-27 |