| NPI | 1912565821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CARL JOHNSON Owner/Physician 419-691-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |