| NPI | 1922073030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA M KALUCKI Administrator 419-517-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2017-04-05 |