Yellow Springs Primary Care, INC

NPI #1194288514 in Yellow Springs, Ohio

Provider Information

NPI Number: 1194288514
Entity Type: Organization
Organization Name: Yellow Springs Primary Care, INC
Subpart: Yes (part of a larger organization)
Parent Organization: YELLOW SPRINGS PRIMARY CARE INC
Primary Specialty: Family Medicine
Enumeration Date: Apr 11, 2019
Last Updated: Feb 2, 2021

Practice Location

Address: 888 DAYTON ST UNIT 106
City: Yellow Springs
State: Ohio
ZIP Code: 45387-1778
Phone: (937) 767-1088

Authorized Official

Name: DONALD ALEXANDER GRONBECK, MD
Title: OWNER
Phone: (937) 767-1088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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