Ivy Medical Group Pllc

NPI #1700558798 in Kettering, Ohio

Provider Information

NPI Number: 1700558798
Entity Type: Organization
Organization Name: Ivy Medical Group Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Sep 29, 2021
Last Updated: Feb 3, 2026

Practice Location

Address: 1150 W DOROTHY LN
City: Kettering
State: Ohio
ZIP Code: 45409-1305
Phone: (212) 734-6621

Authorized Official

Name: DR. DANIEL G FUNSCH JR., MD
Title: PRESIDENT
Phone: (929) 650-3990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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