| NPI | 1932649423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL TUMBLIN Owner 419-222-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH APRN.CNP.019868) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |