Organization
MIMA INC.
Active
Parent organization
MIDWEST INTERNAL MEDICINE ASSOC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST INTERNAL MEDICINE ASSOC.
Authorized official
KELLY MCCOY (MANAGER)
(740) 616-8052
Entity
Organization
Contact information
Practice address
1069 DELAWARE AVE, STE 105, MARION, OH 43302-1400
(740) 382-9024
(740) 888-1871
Mailing address
1728 MARION WALDO RD, MARION, OH 43302-7457
(740) 389-2297
(740) 888-0004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3890924
OH
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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