| NPI | 1972627065 |
|---|---|
| Doing Business As | AUSTIN SQUARE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GREGORY JOHN FACEMYER Owner 330-533-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35072943F) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-04-01 |