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Organization
TROY INTERNAL MEDICINE, INC.
Active
Organization
TROY INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J NICKRAS MD (OWNER PARTNER)
(937) 339-3838
Entity
Organization
Contact information
Practice address
530 CRESCENT DR, TROY, OH 45373-2718
(937) 339-3838
(937) 335-1232
Mailing address
530 CRESCENT DR, TROY, OH 45373-2718
(937) 339-3838
(937) 335-1232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35036285N
OH
207R00000X
Internal Medicine Physician
Primary
35037618N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212442
—
OH
Enumeration date
06/15/2007
Last updated
02/04/2010
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