| NPI | 1407872518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE F MICHEL Systems Support Analyst 937-499-6758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208M00000X Hospitalist | |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2026-01-15 |