| Internal Medicine Associates Of Clinton County Inc | |
|
891 W Locust St Wilmington OH 45177-2118 | |
| (937) 382-5030 | |
| (937) 655-8390 |
| Full Name | Internal Medicine Associates Of Clinton County Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 891 W Locust St, Wilmington, Ohio |
| Authorized Official Name and Position | Bruce Edmund Staley (PRESIDENT) |
| Authorized Official Contact | 9373825030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Clinton County Inc 891 W Locust St Wilmington OH 45177-2118 Ph: (937) 382-5030 | Internal Medicine Associates Of Clinton County Inc 891 W Locust St Wilmington OH 45177-2118 Ph: (937) 382-5030 |
| NPI Number | 1134112329 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134112329 | NPI | - | NPPES |
| 0385373 | Medicaid | OH | |
| IN9287061 | Other | OH | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Ohio) | Primary |
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