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Organization

DEKALB MEMORIAL HOSPITAL, INC

Active
Other names
DeKalb Health Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PENNY LYNN GRIFFIN CPC (CREDENTIALING)
(260) 920-2794
Entity
Organization

Contact information

Practice address
208 COLUMBUS ST, HICKSVILLE, OH 43526-1250
(419) 542-6692
Mailing address
PO BOX 623, AUBURN, IN 46706-0623
(260) 927-8105
(260) 927-8026

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
04/15/2014
Last updated
04/15/2014
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