Cleanslate Medical Group of Ohio LLC

NPI #1558800193 in Moraine, Ohio

Provider Information

NPI Number
1558800193
Entity Type
Organization
Organization Name
Cleanslate Medical Group of Ohio LLC
Primary Specialty
Internal Medicine - Addiction Medicine
Enumeration Date
Feb 15, 2017
Last Updated
Dec 17, 2025

Practice Location

Address
4700 SPRINGBORO PIKE STE C
State
Ohio
ZIP Code
45439-1982
Phone
(937) 558-5100

Authorized Official

Name
MATTHEW PHILIP SMOLAREK
Title
CFO
Phone
(412) 999-5188

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Addiction MedicineAddiction Medicine

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