Organization
MIDWEST INTERNAL MEDICINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY S RATLIFF (BILLING CORDINATOR)
(740) 616-8052
Entity
Organization
Contact information
Practice address
1728 MARION WALDO RD, MARION, OH 43302-7457
(740) 389-2297
(740) 389-2427
Mailing address
1728 MARION WALDO RD, MARION, OH 43302-7457
(740) 389-2297
(740) 389-2427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35056082
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156143
—
OH
Enumeration date
09/07/2007
Last updated
10/29/2020
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