Organization
HOSPITALIST SERVICES MEDICAL GROUP OF MARYSVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A COLE JR. MD (CEO)
(800) 726-3627
Entity
Organization
Contact information
Practice address
500 LONDON AVE, MARYSVILLE, OH 43040-5512
(937) 644-6115
(937) 578-2812
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1490338
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2544358
—
OH
Enumeration date
09/13/2005
Last updated
10/03/2011
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