| NPI | 1497154827 |
|---|---|
| Doing Business As | MIDDLETOWN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER CEO/President 937-499-8205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-11-19 |