CLEANSLATE MEDICAL GROUP OF OHIO LLC

MORAINE, OH
NPI1558800193
Entity TypeOrganization
Authorized ContactMATTHEW PHILIP SMOLAREK
CFO
412-999-5188
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date2017-02-15
Last Update Date2025-05-08
Business Address
CLEANSLATE MEDICAL GROUP OF OHIO LLC
4700 SPRINGBORO PIKE STE C
MORAINE, OH 45439-1982
Phone number: 937-558-5100
Mailing Address
CLEANSLATE MEDICAL GROUP OF OHIO LLC
8 CADILLAC DR STE 180
BRENTWOOD, TN 37027-5393
Phone number: 615-425-0220
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