| NPI | 1932201365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS JOSEPH CHARETTE President 3303-088-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35079651C) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2009-08-11 |