| NPI | 1184906497 |
|---|---|
| Doing Business As | HERITAGE INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL D HAIBACK Director Business Development 937-558-3222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |