Organization
COUNTY OF CLINTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY K HOLTEN M.D. (MEDICAL DIRECTOR)
(937) 382-7221
Entity
Organization
Contact information
Practice address
111 S NELSON AVE STE 1, WILMINGTON, OH 45177-2067
(937) 382-7221
(937) 382-7027
Mailing address
111 S NELSON AVE STE 1, WILMINGTON, OH 45177-2067
(937) 382-7221
(937) 382-7027
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274439
—
OH
05
—
0566696
—
OH
Enumeration date
02/22/2007
Last updated
07/21/2022
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