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Organization
SPRINGBORO FAMILY MEDICINE INC
Active
Organization
SPRINGBORO FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN BETH GRAU MD (PHYSICIAN)
(937) 748-4211
Entity
Organization
Contact information
Practice address
5 SYCAMORE CREEK DRIVE, SPRINGBORO, OH 45066
(937) 748-4211
(937) 748-3566
Mailing address
5 SYCAMORE CREEK DRIVE, SPRINGBORO, OH 45066
(937) 748-4211
(937) 748-3566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34008059M
OH
207Q00000X
Family Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2519162
—
OH
Enumeration date
04/09/2008
Last updated
04/09/2008
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