| NPI | 1669442950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J KRONAUGE Practice Administrator 937-433-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 207RN0300X Internal Medicine, Nephrology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine (Licence: OH 34004845) | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35070085) | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-05-05 |