| NPI | 1982632741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMATHA PLATZKE CFO 419-251-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 207V00000X Obstetrics & Gynecology | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208200000X Plastic Surgery | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-01-25 |