| NPI | 1871798413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J NICKRAS Owner Partner 937-339-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35037618N) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35036285N) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2010-02-04 |