| NPI | 1891049862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KAPON Owner 330-759-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35093877) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35093877) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |