| NPI | 1982136982 |
|---|---|
| Doing Business As | ASPEN GROVE PAIN MGMT. |
| Entity Type | Organization |
| Authorized Contact | JAMES J OTTING Medical Director/Owner 419-843-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2019-10-21 |