| NPI | 1952403776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA S ROBINSON President Owner 419-691-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35078608R) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2011-04-01 |