Organization
DUNKIN-BLANTON HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ELAINE DUNKIN-BLANTON M.D (OWNER/PHYSICIAN)
(937) 544-5698
Entity
Organization
Contact information
Practice address
211 N WILSON DR, WEST UNION, OH 45693-1562
(937) 544-5698
(937) 544-1708
Mailing address
211 N WILSON DR, WEST UNION, OH 45693-1562
(937) 544-5698
(937) 544-1708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35050128D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0558570
—
OH
01
—
300016
AMERIGROUP
OH
Enumeration date
10/17/2007
Last updated
04/20/2008
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