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 |