| NPI | 1942682455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN HERMAN KLUGE President 937-838-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 35.057549) |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2023-07-10 |