| NPI | 1992132740 |
|---|---|
| Doing Business As | MCMG WEDGEWOOD |
| Entity Type | Organization |
| Authorized Contact | DIANA HANCOCK Credentialing Coordinator 614-546-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |