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Organization

INTERNAL MEDICINE OF CENTERVILLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLENN H KLUGE M.D. (PRESIDENT)
(937) 681-9507
Entity
Organization

Contact information

Practice address
8002 MCEWEN RD, CENTERVILLE, OH 45458-2033
(937) 681-9507
(937) 221-8242
Mailing address
8002 MCEWEN RD, CENTERVILLE, OH 45458-2033
(937) 681-9507
(937) 221-8242

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
09/22/2015
Last updated
09/22/2015
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