Organization
MAIN MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS HOLLON MD (DOCTOR/PRESIDENT)
(937) 382-0918
Entity
Organization
Contact information
Practice address
222 W MAIN ST, WILMINGTON, OH 45177-2241
(937) 383-1123
Mailing address
222 W MAIN ST, WILMINGTON, OH 45177-2241
(937) 383-1123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35038494H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437594
—
OH
Enumeration date
09/29/2006
Last updated
04/02/2022
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