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2241 Rombach Rd. Wilmington OH 45177 | |
| (937) 383-1040 | |
| (937) 383-1380 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 2241 Rombach Rd., Wilmington, Ohio |
| Authorized Official Name and Position | Michael C Choo (PRESIDENT) |
| Authorized Official Contact | 9373831040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 951216 Cleveland OH 44193-0011 Ph: (440) 777-6017 | 2241 Rombach Rd. Wilmington OH 45177 Ph: (937) 383-1040 |
| NPI Number | 1811975329 |
|---|---|
| Provider Enumeration Date | 01/04/2006 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811975329 | NPI | - | NPPES |
| 2325077 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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