| NPI | 1922092857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ANN KELBLEY Office Manager 419-435-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: OH 3003) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2022-07-21 |