Main Street Family Practice INC

NPI #1093864035 in Dayton, Ohio

Provider Information

NPI Number: 1093864035
Entity Type: Organization
Organization Name: Main Street Family Practice INC
Primary Specialty: Family Medicine
Enumeration Date: Jan 9, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 9000 NORTH MAIN STREET
Address 2: SUITE 403
City: Dayton
State: Ohio
ZIP Code: 45415-1180
Phone: (937) 836-5171

Authorized Official

Name: MARTIN K FUJIMURA, MD
Title: PRESIDENT
Phone: (937) 836-5171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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