| NPI | 1922277656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE KREPTOWSKI Owner, Physician 330-244-0480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-00-6419K) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2016-03-24 |