| NPI | 1992334858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH WAYNE HOSTETLER Owner 330-625-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2023-03-29 |