| NPI | 1891240768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY UTZ Director Of Lmp 419-998-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-03-08 |