Organization
INNOVATIVE FAMILY MEDICINE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN S. IM DO (OWNER)
(614) 517-9637
Entity
Organization
Contact information
Practice address
6425 POST RD STE 102, DUBLIN, OH 43016-1347
(614) 813-0883
(614) 813-7173
Mailing address
6425 POST RD STE 102, DUBLIN, OH 43016-1347
(614) 813-0883
(614) 813-7173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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