| NPI | 1811096951 |
|---|---|
| Doing Business As | INTERNAL MEDICINE GROUP |
| Entity Type | Organization |
| Authorized Contact | PAMELA RADER Administrator 937-440-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-08-20 |