| NPI | 1013290683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN D GANZSARTO Chief Executive Officer 937-671-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208800000X Urology | |
| 208D00000X General Practice | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-22 |