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Organization
SIDNEY MEDICAL GROUP INC
Active
Organization
SIDNEY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J MILLER MD (OWNER)
(937) 492-9128
Entity
Organization
Contact information
Practice address
322 SECOND AVENUE, SIDNEY, OH 45365
(937) 492-9128
(937) 497-0820
Mailing address
322 SECOND AVENUE, SIDNEY, OH 45365
(937) 492-9128
(937) 497-0820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305539
—
OH
05
—
0905784
—
OH
05
—
2435930
—
OH
Enumeration date
09/26/2006
Last updated
08/22/2020
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