| NPI | 1619119575 |
|---|---|
| Doing Business As | INTERNAL MEDICINE OF GREENE |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M KOSTELNICK Practice Administrator 330-899-9350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34003114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35073082) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2020-08-14 |