| Heritage Internal Medicine | |
|
3145 Hamilton Mason Rd 2nd Floor Hamilton OH 45011-8556 | |
| (513) 867-0015 | |
| (513) 867-8751 |
| Full Name | Heritage Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 3145 Hamilton Mason Rd, Hamilton, Ohio |
| Authorized Official Name and Position | Daniel D Haiback (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 9375583222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Internal Medicine 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 384-4838 | Heritage Internal Medicine 3145 Hamilton Mason Rd 2nd Floor Hamilton OH 45011-8556 Ph: (513) 867-0015 |
| NPI Number | 1184906497 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184906497 | NPI | - | NPPES |
| 2712872 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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