Organization
CENTRAL STATE UNIVERSITY
Active
Other names
Central State Health & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MATHEWS M.D. (EXECUTIVE DIRECTOR)
(937) 376-6076
Entity
Organization
Contact information
Practice address
1400 BRUSH ROW RD., WILBERFORCE, OH 45384
(937) 376-6076
(937) 376-6647
Mailing address
P.O. BOX 1004, WILBERFORCE, OH 45384
(937) 376-6076
(937) 376-6446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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