Organization
INTERNAL MEDICINE ASSOCIATES, INC.
Active
Other names
Sycamore Wound Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL D HAIBACH (DIRECTOR OF NETWORK CONTRACTING)
(937) 558-3222
Entity
Organization
Contact information
Practice address
4000 MIAMISBURG CENTERVILLE RD, MIAMISBURG, OH 45342-7615
(937) 384-4329
(937) 384-4853
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3598
(937) 384-4838
(937) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0559435
—
OH
05
—
0707882
—
OH
05
—
2461429
—
OH
05
—
2884142
—
OH
05
—
2963164
—
OH
Enumeration date
04/17/2008
Last updated
10/30/2012
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