| NPI | 1912199746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN HAYNES President 419-333-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-090126) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-04-03 |