Mima Inc.

NPI #1740634500 in Marion, Ohio

Provider Information

NPI Number: 1740634500
Entity Type: Organization
Organization Name: Mima Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: MIDWEST INTERNAL MEDICINE ASSOC.
Primary Specialty: Specialist
Enumeration Date: Apr 19, 2016
Last Updated: Apr 19, 2016

Practice Location

Address: 1069 DELAWARE AVE
Address 2: STE 105
City: Marion
State: Ohio
ZIP Code: 43302-1400
Phone: (740) 382-9024

Authorized Official

Name: KELLY MCCOY
Title: MANAGER
Phone: (740) 616-8052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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