| NPI | 1003577081 |
|---|---|
| Doing Business As | SPARTAN MEDICAL MEN'S HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | KWABENA AMPONSAH CEO/Provider 937-902-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-01-10 |