| NPI | 1477932036 |
|---|---|
| Doing Business As | GEM CITY SURGICAL HERNIA CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER President / CEO 937-499-8205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |