| NPI | 1982075388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WAGNER Md 330-493-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2023-07-18 |