| NPI | 1912167750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE KERLIN Office Manager 419-332-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-082561) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-11-26 |