| NPI | 1912087511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. STEVENS Physician 937-296-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-09-24 |