| Miamisburg Family Practice | |
|
1625 S Alex Rd West Carrollton OH 45449-5404 | |
| (937) 865-0534 | |
| (937) 865-0721 |
| Full Name | Miamisburg Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1625 S Alex Rd, West Carrollton, Ohio |
| Authorized Official Name and Position | Daniel D Haibach (DIRECTOR OF NETWORK OPERATIONS) |
| Authorized Official Contact | 9373844838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miamisburg Family Practice 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 384-4838 | Miamisburg Family Practice 1625 S Alex Rd West Carrollton OH 45449-5404 Ph: (937) 865-0534 |
| NPI Number | 1679895536 |
|---|---|
| Provider Enumeration Date | 02/19/2010 |
| Last Update Date | 04/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679895536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
West Carrollton Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Elmwood Park Dr, Suite 202, West Carrollton, OH 45449 Phone: 937-847-7406 Fax: 937-847-7427 |