| NPI | 1871867663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF UTZ Director Of Lmp 419-998-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2023-11-20 |