Organization
YELLOW SPRINGS PRIMARY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD GRONBECK M. D. (OWNER)
(937) 767-1088
Entity
Organization
Contact information
Practice address
888 DAYTON ST UNIT 106, YELLOW SPRINGS, OH 45387-1778
(937) 767-1088
(937) 767-1022
Mailing address
888 DAYTON ST UNIT 106, YELLOW SPRINGS, OH 45387-1778
(937) 767-1088
(937) 767-1022
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
35.120593
OH
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096525
—
OH
Enumeration date
01/16/2014
Last updated
02/02/2021
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