| NPI | 1902886492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ACKERMAN Administrator 419-222-6622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2012-03-30 |