Organization
OHIO PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE MILNER (PRACTICE MANAGER)
(937) 299-2339
Entity
Organization
Contact information
Practice address
7200 POE AVE, SUITE 201, VANDALIA, OH 45414-2547
(937) 236-5396
Mailing address
1775 DELCO PARK DR, KETTERING, OH 45420-1398
(937) 299-2339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0951788
—
OH
Enumeration date
08/18/2008
Last updated
06/26/2012
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