Individual
MIRIAM EMILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3276
(937) 723-3277
Mailing address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3276
(937) 723-3277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
196904-1
NY
207R00000X
Internal Medicine Physician
35.071046
OH
208M00000X
Hospitalist Physician
Primary
35.071046
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005583
—
OH
Enumeration date
08/30/2006
Last updated
05/05/2023
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