NPI | 1982107975 |
---|---|
Doing Business As | VAN WERT NORTH |
Entity Type | Organization |
Authorized Contact | DAWN CULP Credentialing Specialist 419-232-5279 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
261QR0200X Clinic/Center, Radiology | |
261QR0400X Clinic/Center, Rehabilitation | |
261QX0100X Clinic/Center, Occupational Medicine | |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2018-03-15 |
Last Update Date | 2018-03-15 |