| NPI | 1982168100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L UTLAK Practice Manager 330-492-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2023-08-29 |