Organization
HERZIG KRALL MEDICAL GROUP INC.
Active
Other names
Internists of Fairfield
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN T. JOHNSON (ADMINISTRATOR)
(513) 645-1125
Entity
Organization
Contact information
Practice address
5150 SANDY LN, FAIRFIELD, OH 45014-2738
(513) 645-1125
Mailing address
5150 SANDY LN, FAIRFIELD, OH 45014-2738
(513) 645-1125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
OH
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0475098
—
OH
Enumeration date
03/21/2006
Last updated
09/11/2025
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