| Sycamore Family Medicine | |
|
4000 Miamisburg Centerville Rd Suite 410b Miamisburg OH 45342-7615 | |
| (937) 384-0790 | |
| (937) 384-0794 |
| Full Name | Sycamore Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4000 Miamisburg Centerville Rd, Miamisburg, Ohio |
| Authorized Official Name and Position | Daniel D Haibach (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 9375583222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sycamore Family Medicine 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 384-4838 | Sycamore Family Medicine 4000 Miamisburg Centerville Rd Suite 410b Miamisburg OH 45342-7615 Ph: (937) 384-0790 |
| NPI Number | 1205118692 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205118692 | NPI | - | NPPES |
| 2712872 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Advanced Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10050 Innovation Dr, Suite 200, Miamisburg, OH 45342 Phone: 937-558-3208 Fax: 937-558-3248 |