| NPI | 1942268735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HOLLIDAY Vice President 419-238-8285 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-07-8450-M) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35048258) |
| 207R00000X Internal Medicine (Licence: OH 35-06-3622) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35058390) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35128002) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 35121140) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 35086105) | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208600000X Surgery (Licence: OH 35071740) | |
| 208M00000X Hospitalist (Licence: OH 35063622) | |
| 208M00000X Hospitalist (Licence: OH 35089010) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003593) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36002056) | |
| 363L00000X Nurse Practitioner (Licence: OH NP07379) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH NP08410) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2017-05-01 |