| NPI | 1962593707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE WIELAND Office Manager 419-475-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-02-05 |