| NPI | 1902097751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER P WALCHANOWICZ Practice Manager 440-543-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-05-28 |